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1861695728
KELLY RENEE REAGAN
AUSTIN, TX
NPI
1861695728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: TX 583325)
Enumeration Date
2007-06-07
Last Update Date
2007-07-08
Business Address
Mrs. KELLY RENEE REAGAN N.P.
1301 W 38TH ST STE. 109
AUSTIN, TX 78705-1000
Phone number: 512-533-4171
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Mailing Address
Mrs. KELLY RENEE REAGAN N.P.
1301 W 38TH ST STE. 109
AUSTIN, TX 78705-1000
Phone number: 512-533-4171
Copy
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