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Individual

AUTUMN KRISTINE TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2407 92ND ST, LUBBOCK, TX 79423-4301
(806) 317-3034
Mailing address
2407 92ND ST, LUBBOCK, TX 79423-4301
(806) 317-3034

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
192704
TX

Other

Enumeration date
03/07/2019
Last updated
03/07/2019
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