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1730663048
SHELLY RENAE SCOTT
FORT WORTH, TX
NPI
1730663048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 151473)
Enumeration Date
2018-09-21
Last Update Date
2018-09-21
Business Address
SHELLY RENAE SCOTT LVN
6115 CAMP BOWIE BLVD STE 290
FORT WORTH, TX 76116-5500
Phone number: 817-831-1105
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Mailing Address
SHELLY RENAE SCOTT LVN
6115 CAMP BOWIE BLVD STE 290
FORT WORTH, TX 76116-5500
Phone number: 817-831-1105
Copy
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