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1487690236
MIA LATHAM
LUBBOCK, TX
NPI
1487690236
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: TX 547826)
Enumeration Date
2006-06-21
Last Update Date
2007-07-09
Business Address
-- MIA LATHAM NP
3601 4TH ST SUITE 3B100
LUBBOCK, TX 79430-0002
Phone number: 806-743-2340
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Mailing Address
-- MIA LATHAM NP
PO BOX 5865
LUBBOCK, TX 79408-5865
Phone number: 806-743-2898
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