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1780148601
ELYSE WOMBLE
AUSTIN, TX
NPI
1780148601
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-01-24
Last Update Date
2019-01-24
Business Address
ELYSE WOMBLE SPT
800 DULWICH ST
AUSTIN, TX 78748-6513
Phone number: 512-423-0548
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Mailing Address
ELYSE WOMBLE SPT
800 DULWICH ST
AUSTIN, TX 78748-6513
Phone number: 512-423-0548
Copy
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