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Individual

SHELL-LYN CLARKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3763 EVANS AVE, FORT MYERS, FL 33901-9302
(239) 275-3222
Mailing address
3763 EVANS AVE, FORT MYERS, FL 33901-9302

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5209191
FL

Other

Enumeration date
06/12/2015
Last updated
06/12/2015
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