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Individual

ASHLEY SOUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4030 HIGHWAY 6 S STE 150, COLLEGE STATION, TX 77845-1808
(979) 431-3380
Mailing address
3400 PRIVATE ROAD 3330, JEWETT, TX 75846-3070

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
338281
TX

Other

Enumeration date
08/14/2018
Last updated
08/14/2018
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