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1508920935
REBECCA SHIVELY
SAN MARCOS, TX
NPI
1508920935
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TX 619413)
Enumeration Date
2006-12-20
Last Update Date
2021-09-03
Business Address
REBECCA SHIVELY
601 LEAH AVE
SAN MARCOS, TX 78666-7849
Phone number: 512-396-1000
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Mailing Address
REBECCA SHIVELY
601 LEAH AVE
SAN MARCOS, TX 78666-7849
Phone number: 512-396-1000
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