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1902489305
DONAVAN SCOTT
WACO, TX
NPI
1902489305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1032100)
Enumeration Date
2021-05-03
Last Update Date
2021-09-16
Business Address
DONAVAN SCOTT
5931 CROSSLAKE PKWY
WACO, TX 76712-6986
Phone number: 469-596-0830
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Mailing Address
DONAVAN SCOTT
5931 CROSSLAKE PKWY
WACO, TX 76712-6986
Phone number: 254-870-4874
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