LARISSA DYAN KIRK

AUSTIN, TX
NPI1003318726
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NE  19572)
Enumeration Date2018-03-08
Last Update Date2018-03-08
Business Address
LARISSA DYAN KIRK
1631 E 2ND ST
AUSTIN, TX 78702-4490
Phone number: 512-455-7787
Mailing Address
LARISSA DYAN KIRK
1430 COLLIER ST
AUSTIN, TX 78704-2911
Phone number: 512-472-4357
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