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1710190954
SHELLY RENE VANSCOYK
FORT WORTH, TX
NPI
1710190954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX M2849)
Enumeration Date
2007-05-07
Last Update Date
2010-10-26
Business Address
-- SHELLY RENE VANSCOYK DO
1101 6TH AVE
FORT WORTH, TX 76104-4306
Phone number: 817-336-4638
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Mailing Address
-- SHELLY RENE VANSCOYK DO
1101 6TH AVE.
FORT WORTH, TX 76104
Phone number:
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