KASSIE IDICULA

LUBBOCK, TX
NPI1952711947
Former NameKASSIE NICOLE QUINTANA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA08972)
Enumeration Date2014-04-30
Last Update Date2014-10-13
Business Address
-- KASSIE IDICULA PA
2412 50TH ST
LUBBOCK, TX 79412-2504
Phone number: 806-744-7223
Mailing Address
-- KASSIE IDICULA PA
2804 N LOOP 289
LUBBOCK, TX 79415-1410
Phone number: 806-744-7223
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