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Individual
MS. SHIRLEY ANN PEARCE
Active
Individual
MS. SHIRLEY ANN PEARCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, LVN
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
150978
TX
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
L9626
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193110701
—
TX
05
—
193110702
—
TX
Enumeration date
06/12/2007
Last updated
09/25/2008
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