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1922514603
KUSAM LATA
SCHERTZ, TX
NPI
1922514603
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TX AP136073)
Enumeration Date
2017-12-18
Last Update Date
2023-01-06
Business Address
KUSAM LATA FNP
2693 FM 3009
SCHERTZ, TX 78154-2712
Phone number: 210-658-3087
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Mailing Address
KUSAM LATA FNP
2693 FM 3009
SCHERTZ, TX 78154-2712
Phone number: 210-658-3087
Copy
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