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1407614308
AXA PERUMPALATH
EDINBURG, TX
NPI
1407614308
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX 1156976)
Enumeration Date
2024-03-06
Last Update Date
2024-04-30
Business Address
AXA PERUMPALATH NP
5501 S MCCOLL RD
EDINBURG, TX 78539-5503
Phone number: 956-362-8677
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Mailing Address
AXA PERUMPALATH NP
PO BOX 6148
MCALLEN, TX 78502-6148
Phone number: 956-362-8677
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