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1770854515
LUCY SHANNON
GALESBURG, IL
NPI
1770854515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043110853)
Enumeration Date
2012-01-25
Last Update Date
2012-01-25
Business Address
-- LUCY SHANNON LPN
2323 WINDISH DR
GALESBURG, IL 61401-9780
Phone number: 309-344-2323
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Mailing Address
-- LUCY SHANNON LPN
2323 WINDISH DR
GALESBURG, IL 61401-9780
Phone number: 309-344-2323
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