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1730812280
SHANIQUE POWELL
SAN ANTONIO, TX
NPI
1730812280
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 1069027)
Enumeration Date
2022-07-01
Last Update Date
2023-07-27
Business Address
Ms. SHANIQUE POWELL FNP-BC
2327 SW MILITARY DR
SAN ANTONIO, TX 78224-1428
Phone number: 210-934-5431
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Mailing Address
Ms. SHANIQUE POWELL FNP-BC
5514 LONE STAR PKWY STE 103
SAN ANTONIO, TX 78253-6770
Phone number: 830-955-8515
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