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1013551233
DALLAS LEIGH UPCHURCH
WACO, TX
NPI
1013551233
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 1073418)
Enumeration Date
2019-10-30
Last Update Date
2023-06-07
Business Address
DALLAS LEIGH UPCHURCH
345 OWEN LN STE 144A
WACO, TX 76710-5587
Phone number: 254-300-4072
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Mailing Address
DALLAS LEIGH UPCHURCH
821 KENDRA DR
TEMPLE, TX 76502-5878
Phone number: 706-326-6088
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