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1831926302
KANEISHA LARRY
HOUSTON, TX
NPI
1831926302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1170834)
Enumeration Date
2024-09-18
Last Update Date
2024-09-18
Business Address
KANEISHA LARRY FNP-C
6411 FANNIN ST
HOUSTON, TX 77030-1501
Phone number: 713-704-3969
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Mailing Address
KANEISHA LARRY FNP-C
6411 FANNIN ST
HOUSTON, TX 77030-1501
Phone number:
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