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Individual

KELLY CARLTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
211 GLADSTONE ST, CENTER, TX 75935-3407
(936) 598-5296
(936) 598-5296
Mailing address
211 GLADSTONE ST, CENTER, TX 75935-3407
(936) 598-5296

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
150230
TX

Other

Enumeration date
02/19/2018
Last updated
02/19/2018
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