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Individual

ALEXIS RAVEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2200 PARK BEND DR, BLDG. 2, STE. 300, AUSTIN, TX 78758-5387
(512) 835-6556
Mailing address
13104 BOURBON ST, AUSTIN, TX 78727-3203
(512) 949-7279

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
02/06/2013
Last updated
03/13/2013
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