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Individual

MRS. SHELBY TERRY FULMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1100 E WENDOVER AVE, GREENSBORO, NC 27405-6713
(336) 641-5325
Mailing address
513 E MONTCASTLE DR, GREENSBORO, NC 27406-5317
(336) 271-2921

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
100566
NC

Other

Enumeration date
05/28/2010
Last updated
05/28/2010
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