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1275100273
KATHERINE ELEANOR LAKE
DALLAS, TX
NPI
1275100273
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-06-08
Last Update Date
2021-06-08
Business Address
KATHERINE ELEANOR LAKE
5323 HARRY HINES BLVD
DALLAS, TX 75390-7201
Phone number: 214-648-2168
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Mailing Address
KATHERINE ELEANOR LAKE
5323 HARRY HINES BLVD
DALLAS, TX 75390-7201
Phone number: 214-648-2168
Copy
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