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1760502793
SHELLEY MARIE HALSTEAD
MODESTO, CA
NPI
1760502793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: CA 391046)
Enumeration Date
2007-03-31
Last Update Date
2007-07-08
Business Address
-- SHELLEY MARIE HALSTEAD N.N.P.
1441 FLORIDA AVE
MODESTO, CA 95350-4405
Phone number: 209-576-3737
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Mailing Address
-- SHELLEY MARIE HALSTEAD N.N.P.
2401 TALLENT DR
MODESTO, CA 95355-4041
Phone number: 209-576-3737
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