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REGINA A SHIRLEY

>> Nurse's Aide >> Nursing Service Related Providers

Registrant NPI Number: 1811154784

Individual Registrant:
 REGINA A SHIRLEY 
Gender: F
Sole Proprietor

Location and contact information for practice:
8822 JEFFERY RD  SOUTHPORT, FL 32409-1885 US
Tel: 850-277-0449  Fax: --

Contact information for business:
8822 JEFFERY RD  SOUTHPORT, FL 32409-1885 US
Tel: 850-277-0449  Fax: --

Registration Information:
NPI: 1811154784
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y376K00000XNursing Service Related Providers
Nurse's Aide

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
677159996FL05




HEALTH CARE JOBS FL - Page 1



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