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1043712961
SALLY MCINTYRE MICHAUD
FORT WORTH, TX
NPI
1043712961
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Former Name
SALLY BROOKS MCINTYRE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: TX 776106)
Enumeration Date
2018-03-07
Last Update Date
2019-06-04
Business Address
Mrs. SALLY MCINTYRE MICHAUD NNP-BC
1500 SOUTH MAIN STREET
FORT WORTH, TX 76104
Phone number: 817-702-1166
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Mailing Address
Mrs. SALLY MCINTYRE MICHAUD NNP-BC
PO BOX 732973
DALLAS, TX 75373-2973
Phone number: 817-702-2450
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