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Linda Stark

Licensed Practical Nurse in Round Rock, TX. Individual provider (NPI-1).

NPI number1356901367
StatusActive
Last updated in NPPESJun 20, 2019

Details

NPI
1356901367
Entity type
Individual (NPI-1)
Name
Linda Stark
Sex
Female
Sole proprietor
No
Enumeration date
Jun 20, 2019
Last updated
Jun 20, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse175886TXYes

Practice location

2501 Louis Henna Blvd Apt 1012
Round Rock, TX 78664-5755

Phone 817-304-6599

Mailing address

2501 Louis Henna Blvd Apt 1012
Round Rock, TX 78664-5755

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