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1336461755
SHELLY R DEVILLIER
FORT WORTH, TX
NPI
1336461755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX 597527)
Enumeration Date
2010-02-26
Last Update Date
2021-04-21
Business Address
SHELLY R DEVILLIER PNP
1500 COOPER ST
FORT WORTH, TX 76104-2710
Phone number: 682-885-2140
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Mailing Address
SHELLY R DEVILLIER PNP
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-1855
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