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1871064410
ANGELICA GHOLSTON
AUSTIN, TX
NPI
1871064410
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP138759)
Enumeration Date
2018-12-07
Last Update Date
2021-03-18
Business Address
ANGELICA GHOLSTON NP
2610 LAKE AUSTIN BLVD
AUSTIN, TX 78703-4429
Phone number: 866-389-2727
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Mailing Address
ANGELICA GHOLSTON NP
2610 LAKE AUSTIN BLVD
AUSTIN, TX 78703-4429
Phone number: 866-389-2727
Copy
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