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Individual

MRS. DEBORAH LYNN ALTSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R PH

Contact information

Practice address
2650 RR 620, AUSTIN, TX 78681
(512) 733-6361
Mailing address
2650 RR 620, AUSTIN, TX 78681
(512) 733-6361

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33704
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33704
PHARMACIST LICENSE
TX
Enumeration date
11/14/2011
Last updated
11/14/2011
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