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Individual

HELEN AVALOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3610 24TH ST, LUBBOCK, TX 79410-2014
(806) 793-3141
(806) 795-9179
Mailing address
PO BOX 20452, YPS-CRED, COLUMBUS, OH 43220-0452
(614) 442-2406
(614) 442-2410

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
018262
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
018262
LICENSE
AZ
Enumeration date
03/08/2007
Last updated
11/07/2014
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