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Individual

ANGELIQUE LAVONNE BISHOP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
1038 EARLY BLVD, EARLY, TX 76802-2211
(325) 646-4800
Mailing address
4101 COUNTY ROAD 139, BANGS, TX 76823-3822
(325) 998-1119

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1018731
TX

Other

Enumeration date
01/12/2021
Last updated
09/22/2023
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