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Individual
KATHY DELOIS DAVIS
Active
Individual
KATHY DELOIS DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
629562
TX
363LF0000X
Family Nurse Practitioner
Primary
AP133606
TX
Other
Enumeration date
07/17/2019
Last updated
07/28/2020
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