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1740065408
LORYN ALEXIS HIGGINBOTHAM
WACO, TX
NPI
1740065408
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TX PA17078)
Enumeration Date
2023-08-30
Last Update Date
2023-09-05
Business Address
LORYN ALEXIS HIGGINBOTHAM PA-C
7005 WOODWAY DR STE 203
WACO, TX 76712-6162
Phone number: 254-379-9299
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Mailing Address
LORYN ALEXIS HIGGINBOTHAM PA-C
2100 S NEW RD APT 1212
WACO, TX 76711-1828
Phone number: 806-281-7868
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