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1578503231
MA ELLEN NOVICIO
ODESSA, TX
NPI
1578503231
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX AP110326)
Enumeration Date
2006-06-08
Last Update Date
2020-04-02
Business Address
MA ELLEN NOVICIO APRN
720 GOLDER AVE
ODESSA, TX 79761-4442
Phone number: 432-337-3117
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Mailing Address
MA ELLEN NOVICIO APRN
PO BOX 2129
ODESSA, TX 79760-2129
Phone number: 432-337-3117
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