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1912068206
NICOLE MICHELLE FUNDERBURKE
ROUND ROCK, TX
NPI
1912068206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2006-12-12
Last Update Date
2007-07-08
Business Address
MRS. NICOLE MICHELLE FUNDERBURKE
1905 HAMPTON LANE
ROUND ROCK, TX 78664-8001
Phone number: 512-246-2867
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Mailing Address
MRS. NICOLE MICHELLE FUNDERBURKE
1905 HAMPTON LANE
ROUND ROCK, TX 78664-8001
Phone number: 512-246-2867
Copy
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