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1255852927
KELLY DIANE SOWA
AUSTIN, TX
NPI
1255852927
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 822630)
Enumeration Date
2017-07-03
Last Update Date
2017-07-03
Business Address
KELLY DIANE SOWA
6600 EAST BED WHITE BLVD
AUSTIN, TX 78747
Phone number: 512-804-3770
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Mailing Address
KELLY DIANE SOWA
1430 COLLIER ST
AUSTIN, TX 78704-2911
Phone number: 512-472-4357
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