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Individual

MS. DEBRA LYNN AUTRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
6222 N LAMAR BLVD, AUSTIN, TX 78752-4004
(512) 472-4357
(512) 703-1390
Mailing address
913 WASHBURN DR, LEANDER, TX 78641-8360
(512) 466-3320

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
137953
TX

Other

Enumeration date
11/20/2015
Last updated
11/20/2015
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