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1164183232
SHANTRELLE DENINE LAVIGNE
DALLAS, TX
NPI
1164183232
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1057464)
Enumeration Date
2021-12-31
Last Update Date
2022-11-10
Business Address
Mrs. SHANTRELLE DENINE LAVIGNE NP-C
3107 W CAMP WISDOM RD STE 170
DALLAS, TX 75237-2643
Phone number: 972-942-7700
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Mailing Address
Mrs. SHANTRELLE DENINE LAVIGNE NP-C
3107 W CAMP WISDOM RD STE 170
DALLAS, TX 75237-2643
Phone number: 972-942-7700
Copy
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