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1790086882
THE MED CLINIC, PLLC
PORT ARTHUR, TX
NPI
1790086882
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Entity Type
Organization
Authorized Contact
BEVERLY A ST. JULIEN
Owner
409-985-8100
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 465574)
Enumeration Date
2010-11-05
Last Update Date
2010-11-05
Business Address
THE MED CLINIC, PLLC
3705 9TH AVE
PORT ARTHUR, TX 77642-4423
Phone number: 409-985-8100
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Mailing Address
THE MED CLINIC, PLLC
3705 9TH AVE
PORT ARTHUR, TX 77642-4423
Phone number: 409-985-8100
Copy
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