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1790278497
SHAYLISE ELLIS
TEMPLE, TX
NPI
1790278497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP137200)
Enumeration Date
2018-06-07
Last Update Date
2022-08-09
Business Address
Mrs. SHAYLISE ELLIS FNP-C
1605 S 31ST ST
TEMPLE, TX 76508-7451
Phone number: 254-215-0100
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Mailing Address
Mrs. SHAYLISE ELLIS FNP-C
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-724-2111
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