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1609288430
AGNES SHEPARD
DEER PARK, TX
NPI
1609288430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP016684)
Enumeration Date
2014-05-28
Last Update Date
2016-12-30
Business Address
-- AGNES SHEPARD FNP-BC
3300 CENTER ST
DEER PARK, TX 77536-5058
Phone number: 609-213-3772
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Mailing Address
-- AGNES SHEPARD FNP-BC
3400 CIVIC CENTER BLVD FL 2
PHILADELPHIA, PA 19104-5127
Phone number: 609-213-3772
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