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1235623588
SHEVONNE LANETTE ELLISON
DALLAS, TX
NPI
1235623588
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-124645)
Enumeration Date
2018-06-20
Last Update Date
2018-06-20
Business Address
Miss SHEVONNE LANETTE ELLISON NP-C
4055 VALLEY VIEW LN
DALLAS, TX 75244-5074
Phone number: 469-466-7174
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Mailing Address
Miss SHEVONNE LANETTE ELLISON NP-C
6000 TARAMORE LN
HUNTSVILLE, AL 35806-4734
Phone number: 256-527-0790
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