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Organization
REJUVANATION
Active
Organization
REJUVANATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN C SNIDER MSN (CNP)
(309) 278-0566
Entity
Organization
Contact information
Practice address
11 CURRENCY DR, BLOOMINGTON, IL 61704-9398
(309) 678-4243
Mailing address
11 CURRENCY DR, BLOOMINGTON, IL 61704-9398
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209005824
IL
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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