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1043596802
MARANDA DIAZ
FORT WORTH, TX
NPI
1043596802
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Former Name
MARANDA MOLINA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX 694571)
Enumeration Date
2011-10-25
Last Update Date
2021-04-21
Business Address
MARANDA DIAZ CPNP
1500 COOPER ST
FORT WORTH, TX 76104-2710
Phone number: 682-885-4007
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Mailing Address
MARANDA DIAZ CPNP
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-1855
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