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1407611858
SHELLY CORINNE BASS
ELIZABETH CITY, NC
NPI
1407611858
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 2023169071)
Enumeration Date
2024-02-15
Last Update Date
2024-11-22
Business Address
SHELLY CORINNE BASS FNP
901 HALSTEAD BLVD
ELIZABETH CITY, NC 27909-6920
Phone number: 252-338-0137
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Mailing Address
SHELLY CORINNE BASS FNP
901 HALSTEAD BLVD
ELIZABETH CITY, NC 27909-6920
Phone number: 252-338-0137
Copy
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