SHANNON ELAINE WILSON

SPRINGFIELD, IL
NPI1821216417
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: IL  041-299271)
Enumeration Date2007-04-22
Last Update Date2007-07-08
Business Address
Mrs. SHANNON ELAINE WILSON R.N.
326 N 7TH ST
SPRINGFIELD, IL 62701-1014
Phone number: 217-544-6464
Mailing Address
Mrs. SHANNON ELAINE WILSON R.N.
401 AINTREE CHASE
SHERMAN, IL 62684-9519
Phone number: 217-899-0807
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