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1003644279
CARLA MARIES RICAFORT MARIANO
DALLAS, TX
NPI
1003644279
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX 1030792)
Enumeration Date
2024-07-22
Last Update Date
2024-09-24
Business Address
CARLA MARIES RICAFORT MARIANO AGACNP
6201 HARRY HINES BLVD
DALLAS, TX 75235-5202
Phone number: 214-633-5555
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Mailing Address
CARLA MARIES RICAFORT MARIANO AGACNP
6908 LEFLORE DR
PLANO, TX 75074-8752
Phone number: 917-753-2395
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