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1184775496
SHELLIE MARIE FAIRLESS
FORT WORTH, TX
NPI
1184775496
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 22154)
Enumeration Date
2007-01-15
Last Update Date
2007-07-08
Business Address
-- SHELLIE MARIE FAIRLESS RPh
6020 HARRIS PKWY
FORT WORTH, TX 76132-4102
Phone number: 817-738-0722
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Mailing Address
-- SHELLIE MARIE FAIRLESS RPh
6020 HARRIS PKWY
FORT WORTH, TX 76132-4102
Phone number: 817-738-0722
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