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Individual

SHELBY MORGAN TULLOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
821 FM 1970 N, TIMPSON, TX 75975
(936) 635-5833
Mailing address
821 FM 1970 N, TIMPSON, TX 75975
(936) 635-5833

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
107292
TX

Other

Enumeration date
02/28/2019
Last updated
02/28/2019
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