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1104303205
JUSTINE SELF
ROUND ROCK, TX
NPI
1104303205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP138188)
Enumeration Date
2018-07-23
Last Update Date
2018-07-23
Business Address
JUSTINE SELF FNP
4681 COLLEGE PARK
ROUND ROCK, TX 78665-1526
Phone number: 512-671-1100
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Mailing Address
JUSTINE SELF FNP
7000 N. MOPAC EXPY, STE #420
AUSTIN, TX 78731
Phone number: 512-482-0045
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