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Individual

MS. MICHELE WEBSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2709 MEADOW ISLE LN, DALLAS, TX 75237-3215
(214) 298-3887
(817) 977-0201
Mailing address
6414 ST LEONARD DR, ARLINGTON, TX 76001-7847
(702) 885-2673

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1063804300
TX
Enumeration date
07/31/2020
Last updated
07/31/2020
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