Individual
ANITA DUBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5015 AUGUSTA CIR, COLLEGE STATION, TX 77845-8986
(979) 690-9601
(979) 690-6292
Mailing address
5015 AUGUSTA CIR, COLLEGE STATION, TX 77845-8986
(979) 690-9601
(979) 690-6292
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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