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1538370952
ASHLEY NORTHCUTT
FORT SAM HOUSTON, TX
NPI
1538370952
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: AZ 49254)
Additional Taxonomies
208600000X Surgery
(Licence: TX s4034)
Enumeration Date
2007-05-25
Last Update Date
2020-05-15
Business Address
ASHLEY NORTHCUTT
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-3765
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Mailing Address
ASHLEY NORTHCUTT
FILE 56765
LOS ANGELES, CA 90074-6769
Phone number: 602-406-3860
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