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1336767615
CARRIE IRENE LASLY
WACO, TX
NPI
1336767615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1003032)
Enumeration Date
2020-07-13
Last Update Date
2020-07-13
Business Address
CARRIE IRENE LASLY NP
6901 MEDICAL PKWY
WACO, TX 76712-7910
Phone number: 254-751-4551
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Mailing Address
CARRIE IRENE LASLY NP
6901 MEDICAL PKWY
WACO, TX 76712-7910
Phone number: 254-751-4551
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