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1114770229
SHANTAU ASUA VALENTINE
MIDLOTHIAN, TX
NPI
1114770229
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 1052371)
Enumeration Date
2024-04-09
Last Update Date
2024-04-09
Business Address
SHANTAU ASUA VALENTINE
506 CLIFTON CT
MIDLOTHIAN, TX 76065-5211
Phone number: 347-520-9794
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Mailing Address
SHANTAU ASUA VALENTINE
506 CLIFTON CT
MIDLOTHIAN, TX 76065-5211
Phone number: 347-520-9794
Copy
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