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1063465409
CARL AUSTIN WILLEFORD
NACOGDOCHES, TX
NPI
1063465409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 631071)
Enumeration Date
2006-05-18
Last Update Date
2022-07-21
Business Address
Mr. CARL AUSTIN WILLEFORD FNP-C
1018 N MOUND ST STE 203
NACOGDOCHES, TX 75961-4434
Phone number: 936-569-4150
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Mailing Address
Mr. CARL AUSTIN WILLEFORD FNP-C
PO BOX 94670
OKLAHOMA CITY, OK 73143-4670
Phone number: 405-682-3303
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