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Individual

SHAWNA RAPHAEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1440 W REPUBLIC RD STE 124, SPRINGFIELD, MO 65807-5754
(877) 448-3627
(866) 507-1164
Mailing address
901 MCCLINTOCK DR STE 202, BURR RIDGE, IL 60527-0872
(630) 655-6748
(630) 734-4715

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015024624
MO

Other

Enumeration date
07/21/2015
Last updated
01/15/2024
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