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Individual

MS. LAURIE CHARLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
8447 JOHN SHARP PKWY, BRYAN, TX 77807-1552
(979) 436-0155
Mailing address
8447 JOHN SHARP PKWY, BRYAN, TX 77807-1552
(979) 436-0155

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
579612
TX

Other

Enumeration date
11/21/2024
Last updated
11/21/2024
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