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1417322611
ALYSSA LEA BLACK
CEDAR PARK, TX
NPI
1417322611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: TX 209841)
Enumeration Date
2015-12-14
Last Update Date
2015-12-14
Business Address
Mrs. ALYSSA LEA BLACK COTA
2200 S LAKELINE BLVD
CEDAR PARK, TX 78613-4567
Phone number: 512-219-0200
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Mailing Address
Mrs. ALYSSA LEA BLACK COTA
2200 S LAKELINE BLVD
CEDAR PARK, TX 78613-4567
Phone number: 512-219-0200
Copy
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