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1891829008
SHELTON M HISLEY
BOLIVIA, NC
NPI
1891829008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: NC 051074)
Enumeration Date
2007-03-16
Last Update Date
2007-07-08
Business Address
-- SHELTON M HISLEY OB Gyn NP
25 COURTHOUSE DR. NE
BOLIVIA, NC 28422
Phone number: 910-253-2250
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Mailing Address
-- SHELTON M HISLEY OB Gyn NP
4336 LOBLOLLY CIR SE
SOUTHPORT, NC 28461-8491
Phone number: 910-253-3353
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