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1558994459
LAUREN MICHELLE KISSOCK
AUSTIN, TX
NPI
1558994459
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: TX PA14137)
Enumeration Date
2020-02-19
Last Update Date
2021-09-17
Business Address
LAUREN MICHELLE KISSOCK PA-S
1010 W 40TH ST
AUSTIN, TX 78756-4010
Phone number: 512-459-8753
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Mailing Address
LAUREN MICHELLE KISSOCK PA-S
1010 W 40TH ST
AUSTIN, TX 78756-4010
Phone number: 512-459-8753
Copy
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