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1104600691
SHIELAMAE N. CARBULLIDO
HARKER HEIGHTS, TX
NPI
1104600691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: TX 1129827)
Enumeration Date
2023-08-24
Last Update Date
2023-08-24
Business Address
SHIELAMAE N. CARBULLIDO A-GNP-C
3035 STILLHOUSE LAKE RD,
HARKER HEIGHTS, TX 76548
Phone number: 254-519-8922
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Mailing Address
SHIELAMAE N. CARBULLIDO A-GNP-C
1246 JESTER CT
COPPERAS COVE, TX 76522-8102
Phone number: 254-981-6072
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