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ELLIEMADEAUSTIN
Contractor
NPI: 1447652243Organization
Specialties, Licenses & Credentials
ContractorPrimary
Contractor
Code: 171W00000X
D8764589(CA)
Contact & Hours
- Address
- 1036 STOCKADE RANCH RD
PAIGE, TX 78659 - Phone
- (512) 629-7416
Quick Facts
- NPI
- 1447652243
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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