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1740822576
GREGORY SCOTT CARLSON
SOUTHLAKE, TX
NPI
1740822576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: TX AP143487)
Enumeration Date
2019-10-14
Last Update Date
2019-10-14
Business Address
GREGORY SCOTT CARLSON NP
1920 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092-6510
Phone number: 817-442-5698
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Mailing Address
GREGORY SCOTT CARLSON NP
8724 CLEARVIEW CT
PLANO, TX 75025-7014
Phone number: 214-682-9224
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