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Individual

ALICE MOSSBARGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1455 LOUISIANA AVE, LEAGUE CITY, TX 77573-5710
(432) 638-7743
Mailing address
1155 DAIRY ASHFORD RD STE 560, HOUSTON, TX 77079-3035

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
910443
TX

Other

Enumeration date
08/05/2019
Last updated
08/05/2019
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