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1881709566
MARY JANE SHANE-COX
PEORIA, IL
NPI
1881709566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209000844)
Enumeration Date
2006-08-20
Last Update Date
2007-07-08
Business Address
-- MARY JANE SHANE-COX NP
411 HAMILTON BLVD SUITE 1824
PEORIA, IL 61602-1144
Phone number: 309-494-9320
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Mailing Address
-- MARY JANE SHANE-COX NP
10335 N PORT WASHINGTON RD 250
MEQUON, WI 53092-5763
Phone number:
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