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1366519902
KATHI VAVRA
APO, AP
NPI
1366519902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: TX 646315)
Enumeration Date
2006-11-29
Last Update Date
2013-08-14
Business Address
-- KATHI VAVRA
PSC 80 BOX 16965
APO, AP 96367-0072
Phone number: 701-850-5538
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Mailing Address
-- KATHI VAVRA
18 MDG UNIT 5142
APO, AP 96368-0072
Phone number: 611-730-4074
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