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1093546756
SHELBY LAYNE BLACKWELL
WILMINGTON, NC
NPI
1093546756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 1155658)
Enumeration Date
2024-08-13
Last Update Date
2024-08-13
Business Address
SHELBY LAYNE BLACKWELL FNP-C
3015 ENTERPRISE DR
WILMINGTON, NC 28405-2116
Phone number: 910-791-3451
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Mailing Address
SHELBY LAYNE BLACKWELL FNP-C
1570 RAPTOR TERRACE NE
BOLIVIA, NC 28422
Phone number: 210-488-4023
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