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1538881503
LAKIMBERELY SHAJUAN WOOTEN
LINDALE, TX
NPI
1538881503
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1037698)
Enumeration Date
2022-09-15
Last Update Date
2023-09-26
Business Address
Ms. LAKIMBERELY SHAJUAN WOOTEN APRN
103 N MAIN ST
LINDALE, TX 75771-3115
Phone number: 903-882-3194
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Mailing Address
Ms. LAKIMBERELY SHAJUAN WOOTEN APRN
4002 TECHNOLOGY CTR
LONGVIEW, TX 75605-2697
Phone number: 903-247-0484
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