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1023592128
SHELBY NICOLE O'TETER
IRVING, TX
NPI
1023592128
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Former Name
SHELBY NICOLE REESE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
247200000X Technician, Other
(Licence: TX RBT-16-1798-42267)
Enumeration Date
2018-09-24
Last Update Date
2018-09-24
Business Address
Mrs. SHELBY NICOLE O'TETER
400 E ROYAL LN STE 290
IRVING, TX 75039-3602
Phone number: 855-832-6727
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Mailing Address
Mrs. SHELBY NICOLE O'TETER
400 E ROYAL LN STE 290
IRVING, TX 75039-3602
Phone number: 855-832-6727
Copy
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