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1205214673
CARIS SUPERVILLE
AUSTIN, TX
NPI
1205214673
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: TX AP127762)
Enumeration Date
2015-05-18
Last Update Date
2015-05-18
Business Address
-- CARIS SUPERVILLE AGPCNP
7610 W HIGHWAY 71 SUITE F
AUSTIN, TX 78735-8231
Phone number: 512-288-0859
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Mailing Address
-- CARIS SUPERVILLE AGPCNP
3967 FERNANDO DR
EULESS, TX 76040-3448
Phone number: 940-632-6843
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