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1275021115
WILBUR THADDEUS SHEARIN
KATY, TX
NPI
1275021115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: NC 71080)
Enumeration Date
2018-04-26
Last Update Date
2018-04-26
Business Address
WILBUR THADDEUS SHEARIN LPN
7235 BROCKINGTON DR
KATY, TX 77494-7065
Phone number: 843-999-5105
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Mailing Address
WILBUR THADDEUS SHEARIN LPN
7235 BROCKINGTON DR
KATY, TX 77494-7065
Phone number: 843-999-5105
Copy
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