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1104399286
SHELLEY C DEBUSK
FORT WORTH, TX
NPI
1104399286
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner Pediatrics
(Licence: TX AP138845)
Enumeration Date
2019-01-10
Last Update Date
2022-10-03
Business Address
SHELLEY C DEBUSK CPNP
10601 N RIVERSIDE DR
FORT WORTH, TX 76244-2118
Phone number: 817-347-2600
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Mailing Address
SHELLEY C DEBUSK CPNP
PO BOX 99213
FORT WORTH, TX 76199-0213
Phone number: 682-885-1860
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