Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Psych/Mental Health
Enumerated
Jul 9, 2024
License(s)
1166903 (TX), 1166903 (TX), 1166903 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2407 CLEAR CREEK RD | Killeen, TX 76549-5721 | 254-519-8901 |
| MAILING | 2201 CLEAR CREEK RD | Killeen, TX 76549-4110 |
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