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Individual

MRS. VIRGIE LEE CLEMENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9704 KENDAL DR, 9704 KENDAL DR, AUSTIN, TX 78753
(401) 649-6616
Mailing address
9704 KENDAL DR, 9704 KENDAL DR, AUSTIN, TX 78753
(401) 649-6616

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
09/11/2019
Last updated
09/11/2019
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