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1013419365
LACONGA VENESSA PRYOR
AUSTIN, TX
NPI
1013419365
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 907289)
Enumeration Date
2018-03-02
Last Update Date
2018-03-02
Business Address
LACONGA VENESSA PRYOR Registered Nurse
4201 S CONGRESS AVE
AUSTIN, TX 78745-1198
Phone number: 512-697-8500
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Mailing Address
LACONGA VENESSA PRYOR Registered Nurse
PO BOX 573
MANCHACA, TX 78652-0573
Phone number:
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