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1740983733
TANESHA SHANEY CHARLES
ROUND ROCK, TX
NPI
1740983733
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX 1103776)
Enumeration Date
2023-03-27
Last Update Date
2023-10-17
Business Address
TANESHA SHANEY CHARLES MS, AGACNP
301 SETON PKWY STE 402
ROUND ROCK, TX 78665-8003
Phone number: 512-324-4816
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Mailing Address
TANESHA SHANEY CHARLES MS, AGACNP
5311 LIONS GATE LN
KILLEEN, TX 76549-5639
Phone number: 512-887-8372
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