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Individual

SHANTRELL M KRAMER

Active
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Individual

SHANTRELL M KRAMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024166378
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
187159201
TX
05
187159202
TX
05
187159203
TX
Enumeration date
06/19/2007
Last updated
03/08/2016
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