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Julie Baker Anderson

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NPI Number Detailed Information

Provider Information:

Name: Julie Baker Anderson
Gender: F
Provider License Number If Given: 9138TG

NPI Information:

NPI: 1609875988
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/19/2005

Last Update Date: 8/12/2019

Provider Business Mailing Address:

Address: 321 HAWK AVE
Mcallen, TX 78504
Phone Number: 8165248900
Fax Number: 8165252042

Provider Business Practice Location Address:

Address: 3804 SO. JACKSON ROAD, STE. #4
Edinburg, TX 78539
Phone Number: 9562963060
Fax Number: 9562963061

Provider Taxonomy:

Primary: 152W00000X
Secondary (if any):
State: TX

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