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Individual
KATHLEEN LEAH CARROLL
Active
Individual
KATHLEEN LEAH CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
516229
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AP115115
TX
Other
Enumeration date
07/26/2006
Last updated
02/05/2020
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