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1003052499
SHELLY RENE ERIKSSON
BRYAN, TX
NPI
1003052499
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 081106)
Enumeration Date
2009-01-06
Last Update Date
2009-03-26
Business Address
-- SHELLY RENE ERIKSSON CRNA
1737 BRIARCREST DR SUITE 14
BRYAN, TX 77802-2769
Phone number: 979-776-4777
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Mailing Address
-- SHELLY RENE ERIKSSON CRNA
1737 BRIARCREST DR SUITE 14
BRYAN, TX 77802-2769
Phone number: 979-776-4777
Copy
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