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1508012519
SHAKED LAKS
EL PASO, TX
NPI
1508012519
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX N6444)
Enumeration Date
2008-08-10
Last Update Date
2019-09-11
Business Address
SHAKED LAKS MD
4815 ALAMEDA AVE
EL PASO, TX 79905-2705
Phone number: 915-215-6000
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Mailing Address
SHAKED LAKS MD
440 RAYNOLDS ST # 51015
EL PASO, TX 79905-1613
Phone number: 915-215-4480
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