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1114113214
KELLY L SHAW
FORT WORTH, TX
NPI
1114113214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WC0400X Registered Nurse, Case Management
(Licence: TX 664845)
Enumeration Date
2007-09-21
Last Update Date
2007-09-21
Business Address
-- KELLY L SHAW RN
8154 PAINTED TREE TRL
FORT WORTH, TX 76131-4559
Phone number: 817-306-5604
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Mailing Address
-- KELLY L SHAW RN
8154 PAINTED TREE TRL
FORT WORTH, TX 76131-4559
Phone number: 817-306-5604
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