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1033727219
KATHLEEN C BACCUS
LUBBOCK, TX
NPI
1033727219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TX 1005508)
Enumeration Date
2020-07-14
Last Update Date
2020-09-01
Business Address
KATHLEEN C BACCUS FNP
4408 6TH ST
LUBBOCK, TX 79416-4732
Phone number: 806-791-0399
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Mailing Address
KATHLEEN C BACCUS FNP
2215 NASHVILLE AVE
LUBBOCK, TX 79410-1105
Phone number: 806-725-5844
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