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Individual

MS. SYLVIA MARIA SHAMBLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
1417 PRAIRIE AVE., BELOIT, WI 53511-3852
(779) 771-0275
Mailing address
1417 PRAIRIE AVE, BELOIT, WI 53511-3852
(779) 771-0275

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.257480
IL
163W00000X
Registered Nurse
112065-030
WI

Other

Enumeration date
02/17/2010
Last updated
02/17/2010
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