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1972203982
SHAKISHA STARKS
MATTESON, IL
NPI
1972203982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043128836)
Enumeration Date
2023-03-08
Last Update Date
2023-03-08
Business Address
Ms. SHAKISHA STARKS LPN
4331 LINCOLN HWY
MATTESON, IL 60443-2404
Phone number: 708-748-1951
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Mailing Address
Ms. SHAKISHA STARKS LPN
4331 LINCOLN HWY
MATTESON, IL 60443-2404
Phone number: 708-748-1951
Copy
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