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Individual

ANGELINE FIELDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
903 TERRACE DR, BANGS, TX 76823-3211
(325) 260-6926
Mailing address
903 TERRACE DR, BANGS, TX 76823-3211
(325) 260-6926

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
220560
TX

Other

Enumeration date
01/15/2019
Last updated
01/15/2019
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