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1528691029
SHELLY AVILA
SAN ANTONIO, TX
NPI
1528691029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 351334)
Enumeration Date
2020-02-13
Last Update Date
2020-02-13
Business Address
SHELLY AVILA
8700 CROWNHILL BLVD STE 300
SAN ANTONIO, TX 78209-1128
Phone number: 210-824-5530
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Mailing Address
SHELLY AVILA
445 WALLACE ST
SEGUIN, TX 78155-5937
Phone number:
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