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1043444961
SUSAN CAROL IMKE
BEDFORD, TX
NPI
1043444961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 229206)
Enumeration Date
2009-05-06
Last Update Date
2012-12-20
Business Address
-- SUSAN CAROL IMKE F.N.P.
1305 AIRPORT FWY SUITE 205
BEDFORD, TX 76021-6605
Phone number: 817-267-6290
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Mailing Address
-- SUSAN CAROL IMKE F.N.P.
1305 AIRPORT FWY SUITE 205
BEDFORD, TX 76021-6605
Phone number: 817-267-6290
Copy
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