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1720781560
VIVIAN LIZET ERNST BAEZ
ODESSA, TX
NPI
1720781560
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX BP10084955)
Enumeration Date
2023-03-22
Last Update Date
2024-08-19
Business Address
Dr. VIVIAN LIZET ERNST BAEZ
701 W 5TH ST
ODESSA, TX 79763-4206
Phone number: 432-703-5238
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Mailing Address
Dr. VIVIAN LIZET ERNST BAEZ
82 POTOMAC DR
BASKING RIDGE, NJ 07920-3193
Phone number: 407-284-8924
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