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1972255313
INDYIA LACOUNT
DESOTO, TX
NPI
1972255313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX 1002206)
Enumeration Date
2022-01-26
Last Update Date
2022-01-26
Business Address
INDYIA LACOUNT FNP
2727 BOLTON BOONE DR STE 101
DESOTO, TX 75115-2019
Phone number: 469-453-2008
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Mailing Address
INDYIA LACOUNT FNP
PO BOX 382498
DUNCANVILLE, TX 75138-2498
Phone number:
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