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1417068370
MARY KATHERINE WANSTROM
AUSTIN, TX
NPI
1417068370
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Former Name
MARY KATHERINE GREWE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 565264)
Enumeration Date
2006-08-31
Last Update Date
2018-10-02
Business Address
MARY KATHERINE WANSTROM FNP
801 W. 34TH STREET, SUITE 102
AUSTIN, TX 78705
Phone number: 512-371-9260
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Mailing Address
MARY KATHERINE WANSTROM FNP
1201 W 49TH ST
AUSTIN, TX 78756-3102
Phone number: 512-374-0203
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