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1164655171
SHAWN R AGENBROAD-ELANDER
AUSTIN, TX
NPI
1164655171
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP118041)
Enumeration Date
2009-08-25
Last Update Date
2018-01-10
Business Address
Mr. SHAWN R AGENBROAD-ELANDER FNP-C
4303 VICTORY DR
AUSTIN, TX 78704-7507
Phone number: 512-462-3627
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Mailing Address
Mr. SHAWN R AGENBROAD-ELANDER FNP-C
4303 VICTORY DR
AUSTIN, TX 78704-7507
Phone number: 512-462-3627
Copy
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