WALKER LEE SHAVEZ

ELDORADO, IL
NPI1730651829
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  043.126283)
Enumeration Date2018-12-30
Last Update Date2018-12-30
Business Address
WALKER LEE SHAVEZ LPN
420 GOOLSBY RD
ELDORADO, IL 62930-3647
Phone number: 618-926-9352
Mailing Address
WALKER LEE SHAVEZ LPN
420 GOOLSBY RD
ELDORADO, IL 62930-3647
Phone number: 518-926-9352
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