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1508330796
SHELLEY D SEABOLT
FORT WAYNE, IN
NPI
1508330796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 28197368A)
Enumeration Date
2019-01-22
Last Update Date
2023-09-25
Business Address
SHELLEY D SEABOLT NP
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
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Mailing Address
SHELLEY D SEABOLT NP
7910 W JEFFERSON BLVD STE 108
FORT WAYNE, IN 46804-4159
Phone number: 260-484-8830
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