Individual
MRS. SHARON S GREENLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9474 N 1900TH ST, WEST UNION, IL 62477-2240
(217) 826-5788
Mailing address
9474 N 1900TH ST, WEST UNION, IL 62477-2240
(217) 826-5788
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
1485297
IL
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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