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1124334065
TINA L SHELLEDY
GLENDALE, AZ
NPI
1124334065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AZ LP046759)
Enumeration Date
2010-08-30
Last Update Date
2010-08-30
Business Address
Mrs. TINA L SHELLEDY LPN
7301 N 58TH AVE
GLENDALE, AZ 85301-1893
Phone number: 626-237-4810
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Mailing Address
Mrs. TINA L SHELLEDY LPN
7301 N 58TH AVE
GLENDALE, AZ 85301-1893
Phone number: 626-237-4810
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