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1003580945
LISA COUCH
FORT WORTH, TX
NPI
1003580945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1049190)
Enumeration Date
2021-08-04
Last Update Date
2024-02-09
Business Address
LISA COUCH
1500 COOPER ST
FORT WORTH, TX 76104-2710
Phone number: 682-885-1116
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Mailing Address
LISA COUCH
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-6483
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