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Individual

MS. JANINEA SHELTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3418 GRACE AVE, SAINT LOUIS, MO 63116-4711
(636) 527-5199
Mailing address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1790

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2012038045
MO

Other

Enumeration date
04/16/2007
Last updated
03/23/2021
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