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Individual

SHELBY BRALEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1 MT CARMEL WAY, PITTSBURG, KS 66762-7587
(620) 231-6100
Mailing address
1004 MOLLIE RAUSCH LN, EDMOND, OK 73003-2536

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-03005
KS
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
09/03/2024
Last updated
10/31/2024
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