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1992100366
CAROL LYNN BLACK
BURLESON, TX
NPI
1992100366
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Former Name
CAROL LYNN CHAMBERS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WL0100X Registered Nurse, Lactation Consultant
(Licence: TX 528145)
Enumeration Date
2014-10-28
Last Update Date
2014-10-28
Business Address
-- CAROL LYNN BLACK
950 THISTLE MEADE CIR
BURLESON, TX 76028-6799
Phone number: 817-995-8625
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Mailing Address
-- CAROL LYNN BLACK
950 THISTLE MEADE CIR
BURLESON, TX 76028-6799
Phone number: 817-995-8625
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