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1922166875
KATHLEEN MARY VIVIAN
GEORGETOWN, TX
NPI
1922166875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP114861)
Enumeration Date
2006-12-04
Last Update Date
2023-03-01
Business Address
Mrs. KATHLEEN MARY VIVIAN FNP
4945 WILLIAMS DR
GEORGETOWN, TX 78633-2008
Phone number: 512-819-0500
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Mailing Address
Mrs. KATHLEEN MARY VIVIAN FNP
PO BOX 844658
DALLAS, TX 75284-4658
Phone number:
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