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1013522754
BETH L LAX
DALLAS, TX
NPI
1013522754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3015032)
Enumeration Date
2020-09-10
Last Update Date
2020-09-10
Business Address
BETH L LAX APRN
4055 VALLEY VIEW LN STE 700
DALLAS, TX 75244-5045
Phone number: 469-466-7190
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Mailing Address
BETH L LAX APRN
3138 US HIGHWAY 95
CALVERT CITY, KY 42029-8844
Phone number: 270-493-6610
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