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1407488521
EVELYN A LARYEA
SHENANDOAH, TX
NPI
1407488521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP145250)
Enumeration Date
2020-02-06
Last Update Date
2021-09-21
Business Address
EVELYN A LARYEA
17201 INTERSTATE 45 S
SHENANDOAH, TX 77385-3311
Phone number: 402-708-0212
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Mailing Address
EVELYN A LARYEA
17201 INTERSTATE 45 S
SHENANDOAH, TX 77385-3311
Phone number: 936-270-2227
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