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1285210815
DAVID SHANE ANGELO
TYLER, TX
NPI
1285210815
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX 1032557)
Enumeration Date
2021-03-23
Last Update Date
2021-05-28
Business Address
Mr. DAVID SHANE ANGELO NP
630 S FLEISHEL AVE
TYLER, TX 75701-2041
Phone number: 903-606-5560
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Mailing Address
Mr. DAVID SHANE ANGELO NP
520 DOUGLAS BLVD
TYLER, TX 75702-8307
Phone number: 903-606-6400
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