Individual
MRS. SHARON K. PICKLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 S CENTER ST, GARDNER, IL 60424-6176
(815) 252-3524
Mailing address
302 S CENTER ST, GARDNER, IL 60424-6176
(815) 252-3524
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
11/26/2007
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