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Individual

MRS. BOUTHANA K YAGHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3601 W WILLIAM CANNON DR, AUSTIN, TX 78749-1525
(512) 892-0930
(512) 892-2479
Mailing address
3601 W WILLIAM CANNON DR, AUSTIN, TX 78749-1525
(512) 892-0930
(512) 892-2479

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40542
TX

Other

Enumeration date
12/03/2009
Last updated
12/03/2009
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