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Individual

LOARA LUCILLE RABURN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
820 S AVONDALE ST, AMARILLO, TX 79106-4113
(806) 359-7592
(806) 359-7592
Mailing address
PO BOX 10183, AMARILLO, TX 79116-0183
(806) 359-7592
(806) 359-7592

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
F5710
TX

Other

Enumeration date
11/20/2012
Last updated
11/20/2012
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