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Individual

MRS. REBECCA C TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNS

Contact information

Practice address
102 N MAGDALEN ST, SAN ANGELO, TX 76903-5400
(325) 658-1511
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
245846
TX
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
245846
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
193839101
TX
01
8Y3857
BCBS
TX
Enumeration date
05/01/2006
Last updated
06/27/2012
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