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Individual

CAROLINE BOSIBORI BIRAI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
710 BOONE TRL, MANSFIELD, TX 76063-3414
(469) 980-1686
Mailing address
710 BOONE TRL, MANSFIELD, TX 76063-3414
(469) 980-1686

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
350164
TX

Other

Enumeration date
09/30/2019
Last updated
09/30/2019
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