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1013667708
JERRIE DENISE SAN LUIS
AUSTIN, TX
NPI
1013667708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: TX 652119)
Enumeration Date
2022-03-25
Last Update Date
2022-03-25
Business Address
JERRIE DENISE SAN LUIS RN
1110 W WILLIAM CANNON DR STE 303
AUSTIN, TX 78745-3188
Phone number: 512-899-2100
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Mailing Address
JERRIE DENISE SAN LUIS RN
1110 W WILLIAM CANNON DR STE 303
AUSTIN, TX 78745-3188
Phone number: 512-899-2100
Copy
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