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Individual

MRS. CORINE L CORREA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH, BSHS

Contact information

Practice address
2600 S 1ST ST, TEMPLE, TX 76504-7435
(254) 298-8282
Mailing address
261 WILD BUFFALO DR, KYLE, TX 78640-4681
(512) 694-5362

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
9131
TX

Other

Enumeration date
10/21/2014
Last updated
10/21/2014
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