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1831120104
JERALDENE SHAFFER
CRESTWOOD, IL
NPI
1831120104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209002901)
Enumeration Date
2006-07-05
Last Update Date
2007-07-08
Business Address
-- JERALDENE SHAFFER NP
14255 CICERO AVE
CRESTWOOD, IL 60445-2154
Phone number: 708-371-0400
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Mailing Address
-- JERALDENE SHAFFER NP
2354 W NORFOLK RD
CRETE, IL 60417-9788
Phone number: 708-748-2260
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