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1952979296
STEPHANIE SHORT
SPRINGFIELD, IL
NPI
1952979296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 125078564)
Enumeration Date
2021-06-14
Last Update Date
2021-06-15
Business Address
Dr. STEPHANIE SHORT MD
751 N RUTLEDGE ST RM 1100
SPRINGFIELD, IL 62702-4968
Phone number: 217-545-8000
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Mailing Address
Dr. STEPHANIE SHORT MD
PO BOX 19636
SPRINGFIELD, IL 62794-9636
Phone number: 217-545-8000
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