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1093414534
NIKKI LAUDERBACK
JBSA FT SAM HOUSTON, TX
NPI
1093414534
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: TX V4138)
Enumeration Date
2023-02-23
Last Update Date
2024-10-21
Business Address
NIKKI LAUDERBACK
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-4789
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Mailing Address
NIKKI LAUDERBACK
3551 ROGER BROOKE DR
SAN ANTONIO, TX 78234-4504
Phone number:
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