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Individual

MISS SELAYNE C TRIPLETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CST/CFA

Contact information

Practice address
10301 GATEWAY BLVD W, EL PASO, TX 79925-7701
(915) 595-9000
Mailing address
3128 AMARILLO STREET, EL PASO, TX 79936
(915) 227-1671

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA00149
TX

Other

Enumeration date
02/19/2008
Last updated
03/14/2009
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