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1902278211
IDA SHELTON
AMARILLO, TX
NPI
1902278211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 618414)
Enumeration Date
2015-10-26
Last Update Date
2015-10-26
Business Address
-- IDA SHELTON
2110 S LA SALLE ST
AMARILLO, TX 79106-6052
Phone number: 806-367-6028
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Mailing Address
-- IDA SHELTON
2110 LASALLE ST
AMARILLO, TX 79106
Phone number: 806-367-6028
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