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1750659546
SHIRLEY A BRADDY
MOUNT VERNON, IL
NPI
1750659546
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Former Name
SHIRLEY A STUDER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043068030)
Enumeration Date
2011-12-07
Last Update Date
2011-12-07
Business Address
SHIRLEY A BRADDY LPN
2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864-5924
Phone number: 618-244-6544
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Mailing Address
SHIRLEY A BRADDY LPN
PO BOX 155
CHRISTOPHER, IL 62822-0155
Phone number: 618-724-2436
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