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Stephanie Shadle
NPI 1750507422 · on the registry since 2007 · sole proprietor
Practice
- Address
- 304 Prairie Dr
Dieterich, IL 62424 - Phone
- (217) 925-5191
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois