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1972157915
SHELLY SKARIAH
SOUTHLAKE, TX
NPI
1972157915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: TX AP142218)
Enumeration Date
2019-07-29
Last Update Date
2019-07-29
Business Address
SHELLY SKARIAH
1001 W SOUTHLAKE BLVD
SOUTHLAKE, TX 76092-6010
Phone number: 817-865-1048
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Mailing Address
SHELLY SKARIAH
3125 RIVERSIDE DR
CARROLLTON, TX 75007-3732
Phone number: 469-583-4797
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