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1043571243
MONA KIDWELL
LEAGUE CITY, TX
NPI
1043571243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: TX 508280)
Enumeration Date
2012-06-04
Last Update Date
2015-06-07
Business Address
-- MONA KIDWELL N.P.
2785 GULF FWY S SUITE 115
LEAGUE CITY, TX 77573-4979
Phone number: 832-816-1370
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Mailing Address
-- MONA KIDWELL N.P.
2785 GULF FWY S SUITE 115
LEAGUE CITY, TX 77573-4979
Phone number: 832-816-1370
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