Individual
JUDITH GAUNTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 LCR 516, MEXIA, TX 76667-4845
(254) 625-0628
Mailing address
400 LCR 516, MEXIA, TX 76667-4845
(254) 625-0628
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
606944
TX
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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