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1730812371
SHELBY SIMMONS
JACKSON, MI
NPI
1730812371
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Former Name
SHELBY TATAR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MI 4704321560)
Enumeration Date
2022-07-01
Last Update Date
2022-07-01
Business Address
SHELBY SIMMONS NP
1407 E MICHIGAN AVE
JACKSON, MI 49202-3517
Phone number: 517-888-6348
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Mailing Address
SHELBY SIMMONS NP
1407 E MICHIGAN AVE
JACKSON, MI 49202-3517
Phone number:
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