Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Jun 30, 2008
License(s)
689580 (TX), AP117126 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 360541 | Pittsburgh, PA 15251-6541 | 972-525-9900 |
| LOCATION | 2300 E PARK BLVD | Plano, TX 75074-5130 | 972-525-9900 |
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