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1063193670
HAI CHI LY
GEORGETOWN, TX
NPI
1063193670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1129634)
Enumeration Date
2023-07-27
Last Update Date
2023-09-06
Business Address
HAI CHI LY
152 MARIENFELD LN
GEORGETOWN, TX 78626-2621
Phone number: 410-390-2041
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Mailing Address
HAI CHI LY
152 MARIENFELD LN
GEORGETOWN, TX 78626-2621
Phone number: 410-390-2041
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