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1114493236
ELISE SHANKLE
KELLER, TX
NPI
1114493236
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP139106)
Enumeration Date
2018-10-16
Last Update Date
2019-11-12
Business Address
ELISE SHANKLE FNP
1921 S MAIN ST
KELLER, TX 76248-5120
Phone number: 832-851-8973
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Mailing Address
ELISE SHANKLE FNP
2517 OPEN RANGE DR
FORT WORTH, TX 76177-2146
Phone number: 832-851-8973
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