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1902626815
SELVY HARTANTI
AUSTIN, TX
NPI
1902626815
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1168174)
Enumeration Date
2024-10-15
Last Update Date
2024-10-15
Business Address
SELVY HARTANTI FNP-C
8209 PETRONAS PASS
AUSTIN, TX 78744-1532
Phone number: 512-669-8633
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Mailing Address
SELVY HARTANTI FNP-C
8209 PETRONAS PASS
AUSTIN, TX 78744-1532
Phone number: 512-669-8633
Copy
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