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1336399625
LATRISHA FAYE SPAIN
WACO, TX
NPI
1336399625
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX N0476)
Enumeration Date
2008-09-24
Last Update Date
2013-12-10
Business Address
-- LATRISHA FAYE SPAIN MD
2125 CLEVELAND AVE
WACO, TX 76706-2921
Phone number: 254-313-5700
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Mailing Address
-- LATRISHA FAYE SPAIN MD
1600 PROVIDENCE DR
WACO, TX 76707-2261
Phone number: 254-313-4200
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