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1154417640
BRENDA KAY SHELLY
PHILADELPHIA, PA
NPI
1154417640
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: PA SP008029)
Enumeration Date
2006-10-04
Last Update Date
2011-03-31
Business Address
-- BRENDA KAY SHELLY CRNP
3400 SPRUCE ST 15 PENN TOWER
PHILADELPHIA, PA 19104-4206
Phone number: 215-662-3914
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Mailing Address
-- BRENDA KAY SHELLY CRNP
3400 SPRUCE ST 15 PENN TOWER
PHILADELPHIA, PA 19104-4206
Phone number:
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