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Individual

CHEYNE LAYNE MOORE RALSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
808 JOLIET AVE UNIT 210, LUBBOCK, TX 79415-1158
(806) 761-0432
(806) 761-0433
Mailing address
5219 CITY BANK PKWY STE 35, LUBBOCK, TX 79407-3545
(806) 761-0333
(806) 785-7685

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
913739
TX
363LF0000X
Family Nurse Practitioner
Primary
1031866
TX

Other

Enumeration date
04/15/2021
Last updated
10/06/2021
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