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1497458632
LARA NGUYEN
ROUND ROCK, TX
NPI
1497458632
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Former Name
LARA MATTIE CHURCH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX 1032061)
Enumeration Date
2023-03-27
Last Update Date
2023-03-27
Business Address
LARA NGUYEN PNP
1001 LITTLE OAK WAY
ROUND ROCK, TX 78681-5517
Phone number: 404-786-8424
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Mailing Address
LARA NGUYEN PNP
1001 LITTLE OAK WAY
ROUND ROCK, TX 78681-5517
Phone number: 512-255-8868
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