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1043869738
SHELLIE DEAN GRAVES
SAN CLEMENTE, CA
NPI
1043869738
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: CA NP95011932)
Enumeration Date
2019-09-05
Last Update Date
2022-04-12
Business Address
SHELLIE DEAN GRAVES NP
5000 PACIFIC COAST HWY
SAN CLEMENTE, CA 92674
Phone number: 949-531-0963
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Mailing Address
SHELLIE DEAN GRAVES NP
5000 PACIFIC COAST HWY
SAN CLEMENTE, CA 92672-1313
Phone number: 949-531-0963
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