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1023406576
CLARA FORMUSOH
FORT WORTH, TX
NPI
1023406576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP127181)
Enumeration Date
2015-01-07
Last Update Date
2016-02-17
Business Address
-- CLARA FORMUSOH NP
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104-2820
Phone number: 817-250-4906
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Mailing Address
-- CLARA FORMUSOH NP
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104-2820
Phone number: 817-250-4906
Copy
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