SHELBY NICOLE BLUM

WASILLA, AK
NPI1295168581
Former NameSHELBY NICOLE JOHNSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AK  2640)
Enumeration Date2013-08-09
Last Update Date2016-05-19
Business Address
-- SHELBY NICOLE BLUM DPT
1700 E BOGARD RD
WASILLA, AK 99654-6563
Phone number: 907-376-4325
Mailing Address
-- SHELBY NICOLE BLUM DPT
1380 N INDIAN HILL CIR APT C
WASILLA, AK 99654-5775
Phone number: 612-803-0582
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