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1417010935
LADERA PARK DERMATOLOGY, P.A.
AUSTIN, TX
NPI
1417010935
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Entity Type
Organization
Authorized Contact
JANET C DUBOIS
President
512-345-3599
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2006-12-18
Last Update Date
2013-02-27
Business Address
LADERA PARK DERMATOLOGY, P.A.
11671 JOLLYVILLE RD STE 104
AUSTIN, TX 78759-4141
Phone number: 512-345-3599
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Mailing Address
LADERA PARK DERMATOLOGY, P.A.
11671 JOLLYVILLE RD STE 104
AUSTIN, TX 78759-4141
Phone number: 512-345-3599
Copy
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