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1588327597
LARAE GLICK
AUSTIN, TX
NPI
1588327597
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1056689)
Enumeration Date
2021-10-16
Last Update Date
2021-10-16
Business Address
LARAE GLICK
4512 BREMNER DR
AUSTIN, TX 78749-3647
Phone number: 505-362-4746
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Mailing Address
LARAE GLICK
4512 BREMNER DR
AUSTIN, TX 78749-3647
Phone number: 505-362-4746
Copy
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