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1770311862
SHAINA A KING
SOUTHLAKE, TX
NPI
1770311862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1168756)
Enumeration Date
2024-07-22
Last Update Date
2024-08-19
Business Address
SHAINA A KING MSN, PHMNP-BC
250 W SOUTHLAKE BLVD STE 100
SOUTHLAKE, TX 76092-6170
Phone number: 817-997-4525
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Mailing Address
SHAINA A KING MSN, PHMNP-BC
12412 TIMBERLAND BLVD STE 300
FORT WORTH, TX 76244-5228
Phone number: 682-593-6001
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