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1275025231
REBECCA JANE DIVACK
SPRING, TX
NPI
1275025231
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX 1110084)
Enumeration Date
2018-06-05
Last Update Date
2023-02-06
Business Address
REBECCA JANE DIVACK
18607 KUYKENDAHL RD
SPRING, TX 77379-3453
Phone number: 281-370-1122
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Mailing Address
REBECCA JANE DIVACK
18607 KUYKENDAHL RD
SPRING, TX 77379-3453
Phone number: 281-370-1122
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