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1811640121
SHELBY LYNN BLACK
WORTHINGTON, MN
NPI
1811640121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN 2464149)
Enumeration Date
2022-01-27
Last Update Date
2022-07-15
Business Address
SHELBY LYNN BLACK CNP
1216 RYANS RD
WORTHINGTON, MN 56187-1780
Phone number: 507-372-6400
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Mailing Address
SHELBY LYNN BLACK CNP
1161 170TH AVE
LUVERNE, MN 56156-4230
Phone number: 605-730-2095
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