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1053323543
KATHLEEN PROVENCHER
HOUSTON, TX
NPI
1053323543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: TX 636908)
Enumeration Date
2006-08-12
Last Update Date
2007-07-08
Business Address
KATHLEEN PROVENCHER N.P
4545 POST OAK PLACE DR SUITE 130
HOUSTON, TX 77027-3164
Phone number: 713-960-8008
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Mailing Address
KATHLEEN PROVENCHER N.P
2521 BREAUX TRCE
SEABROOK, TX 77586-3397
Phone number: 281-532-2118
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