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1013021757
MARY ANNE FITZGERALD
TYLER, TX
NPI
1013021757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: TX 218756)
Enumeration Date
2006-08-19
Last Update Date
2007-07-08
Business Address
-- MARY ANNE FITZGERALD NP
815 N BROADWAY AVE
TYLER, TX 75702-4507
Phone number: 903-535-0023
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Mailing Address
-- MARY ANNE FITZGERALD NP
PO BOX 2039
TYLER, TX 75710-2039
Phone number: 903-535-0023
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