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Individual
MR. DAVID SHANE ANGELO
Active
Individual
MR. DAVID SHANE ANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1032557
TX
Other
Enumeration date
03/23/2021
Last updated
05/28/2021
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