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Individual

TILITHA S SHAWGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
751 N RUTLEDGE ST, SPRINGFIELD, IL 62702-4909
(217) 545-4421
Mailing address
PO BOX 19638, SPRINGFIELD, IL 62794-9638
(217) 545-4421

Taxonomy

Speciality
Code
Description
License number
State
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
209.001606
IL

Other

Enumeration date
08/26/2008
Last updated
08/26/2008
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