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1063183929
MACEY PURDOM
DALLAS, TX
NPI
1063183929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: TX 1052508)
Enumeration Date
2021-09-21
Last Update Date
2023-03-13
Business Address
MACEY PURDOM
12890 HILLCREST RD STE 203
DALLAS, TX 75230-6562
Phone number: 972-239-2777
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Mailing Address
MACEY PURDOM
420 FAIRVIEW AVE
GLEN ELLYN, IL 60137-5363
Phone number: 210-380-3080
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