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1497996177
LISA MICHELLE SHAMBLIN
GRAPEVINE, TX
NPI
1497996177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 704973)
Enumeration Date
2009-03-10
Last Update Date
2011-08-19
Business Address
-- LISA MICHELLE SHAMBLIN APMHNP-BC
1245 S. MAIN ST. #120
GRAPEVINE, TX 76051
Phone number: 817-310-0722
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Mailing Address
-- LISA MICHELLE SHAMBLIN APMHNP-BC
2824 CARNABY LN
FLOWER MOUND, TX 75028-1520
Phone number: 972-510-4368
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