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1043682453
SHELLY ROSE WILKES
GRAND PRAIRIE, TX
NPI
1043682453
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MO 2014024802)
Enumeration Date
2015-10-24
Last Update Date
2015-10-24
Business Address
MRS. SHELLY ROSE WILKES LPN
3103 PARHAM DR APT 227
GRAND PRAIRIE, TX 75052-7726
Phone number: 817-495-4880
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Mailing Address
MRS. SHELLY ROSE WILKES LPN
3103 PARHAM DR APT 227
GRAND PRAIRIE, TX 75052-7726
Phone number: 817-495-4880
Copy
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