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1811108517
WILLIE TREGG SHELTON
FT POLK, LA
NPI
1811108517
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2007-05-24
Last Update Date
2021-10-27
Business Address
MR. WILLIE TREGG SHELTON MPAS, PA-C
BAYNE-JONES ARMY COMMUNITY HOSPITAL 1585 3RD ST.
FT POLK, LA 71446
Phone number: 337-531-4521
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Mailing Address
MR. WILLIE TREGG SHELTON MPAS, PA-C
390 LINCOLN DR
LEESVILLE, LA 71446
Phone number: 337-238-9507
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