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1255924064
SHELBY RIGDON TIEKEN
FORT WORTH, TX
NPI
1255924064
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX 1028643)
Enumeration Date
2021-02-12
Last Update Date
2024-01-10
Business Address
Mr. SHELBY RIGDON TIEKEN AGACNP-BC
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-702-1100
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Mailing Address
Mr. SHELBY RIGDON TIEKEN AGACNP-BC
200 W MAGNOLIA AVE STE 201
FT WORTH, TX 76104-7657
Phone number: 817-702-2977
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