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Individual

JULIA MAE SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
200 DOMINION PARK DR APT 1625, HOUSTON, TX 77090-6732
(713) 794-6765
Mailing address
200 DOMINION PARK DR APT 1625, HOUSTON, TX 77090-6732
(713) 794-6765

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
102720
TX

Other

Enumeration date
08/29/2018
Last updated
08/29/2018
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