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1255801189
SHANE ASHLEY CORREA
TYLER, TX
NPI
1255801189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP139832)
Enumeration Date
2018-12-04
Last Update Date
2024-05-15
Business Address
SHANE ASHLEY CORREA NP
1000 S BECKHAM AVE
TYLER, TX 75701-1908
Phone number: 903-590-5611
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Mailing Address
SHANE ASHLEY CORREA NP
1000 S BECKHAM AVE
TYLER, TX 75701-1908
Phone number: 903-590-5611
Copy
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