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Individual

KRISTEN M VITEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
118 AZALEA DR, GEORGETOWN, TX 78626-4802
(512) 971-1720
Mailing address
118 AZALEA DR, GEORGETOWN, TX 78626-4802

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
943587
TX

Other

Enumeration date
11/18/2018
Last updated
11/18/2018
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