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1467909127
SHELLY-ANN COMMOCK
MIAMI, FL
NPI
1467909127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL APRN9248727)
Enumeration Date
2016-09-09
Last Update Date
2022-08-23
Business Address
SHELLY-ANN COMMOCK
9555 SW 162ND AVE
MIAMI, FL 33196-6408
Phone number: 786-467-2159
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Mailing Address
SHELLY-ANN COMMOCK
PO BOX 198054
ATLANTA, GA 30384-4511
Phone number: 786-594-6880
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