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Individual
MONIQUE LYNETTE CARROLL
Active
Individual
MONIQUE LYNETTE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0005631
MD
363A00000X
Physician Assistant
PA031105
DC
363A00000X
Physician Assistant
Primary
PA12299
TX
Other
Enumeration date
04/06/2015
Last updated
09/01/2023
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