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Juanita Lashet Bates Valid NPI

Individual provider · Preferred Provider Organization · Manvel, TX

NPI
1396048708
Type
Individual (Type 1)
Primary specialty
Preferred Provider Organization
Specialty group
Managed Care Organizations
Taxonomy code
305R00000X
Sex
Female
Sole proprietor
Yes
Enumerated
2010-12-08
Last updated
2020-07-24
Practice location
7022 Limestone Cir
Manvel, TX 77578-5274
(832) 665-5111

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