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Individual

SEVERA ROSALEE SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8147 JENNIE LEE LN, DALLAS, TX 75227-8610
(214) 709-7012
Mailing address
8147 JENNIE LEE LN, DALLAS, TX 75227-8610
(214) 709-7012

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary

Other

Enumeration date
03/07/2019
Last updated
03/07/2019
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