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1265748065
CHARLENE THERESA CONDOLL
AUSTIN, TX
NPI
1265748065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP119340)
Enumeration Date
2010-08-31
Last Update Date
2022-03-01
Business Address
Ms. CHARLENE THERESA CONDOLL NP-C
2529 S 1ST ST
AUSTIN, TX 78704-5466
Phone number: 512-978-9500
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Mailing Address
Ms. CHARLENE THERESA CONDOLL NP-C
2529 S 1ST ST
AUSTIN, TX 78704-5466
Phone number: 512-978-9500
Copy
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