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1710519277
SHALETA INGRAM
LUFKIN, TX
NPI
1710519277
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP145110)
Enumeration Date
2020-02-12
Last Update Date
2024-06-07
Business Address
Mrs. SHALETA INGRAM CNP
305 SHANDS DR
LUFKIN, TX 75904-2885
Phone number: 936-225-3657
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Mailing Address
Mrs. SHALETA INGRAM CNP
305 SHANDS DR
LUFKIN, TX 75904-2885
Phone number: 936-225-3657
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