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1902444730
DEVONDA CHANTAL WYNN
HOUSTON, TX
NPI
1902444730
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246RP1900X Technician, Pathology, Phlebotomy
(Licence: TX CPT19-7289)
Enumeration Date
2019-12-11
Last Update Date
2019-12-11
Business Address
DEVONDA CHANTAL WYNN
16800 IMPERIAL VALLEY DR STE 280
HOUSTON, TX 77060-3161
Phone number: 832-910-7304
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Mailing Address
DEVONDA CHANTAL WYNN
16800 IMPERIAL VALLEY DR STE 280
HOUSTON, TX 77060-3161
Phone number: 832-910-7304
Copy
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