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1316600521
CLYDE EDWARD RABORN
AUSTIN, TX
NPI
1316600521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1057020)
Enumeration Date
2021-10-15
Last Update Date
2021-10-15
Business Address
CLYDE EDWARD RABORN APRN
7901 METROPOLIS DR
AUSTIN, TX 78744-3111
Phone number: 512-823-4000
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Mailing Address
CLYDE EDWARD RABORN APRN
10409 LITTLE CREEK CIR
DRIPPING SPRINGS, TX 78620-2662
Phone number: 830-370-2112
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