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1730591611
AUDRA WELLINGTON
FORT WORTH, TX
NPI
1730591611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174N00000X Lactation Consultant, Non-RN
(Licence: TX 201275)
Enumeration Date
2014-05-27
Last Update Date
2014-05-27
Business Address
AUDRA WELLINGTON LVN, BSC, CLC
1201 S MAIN ST
FORT WORTH, TX 76104-4804
Phone number: 817-702-6524
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Mailing Address
AUDRA WELLINGTON LVN, BSC, CLC
1201 S MAIN ST
FORT WORTH, TX 76104-4804
Phone number: 817-702-6524
Copy
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