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1073364923
AMANDA NICHOLE BRADDOCK
DALLAS, TX
NPI
1073364923
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-28
Last Update Date
2024-03-28
Business Address
AMANDA NICHOLE BRADDOCK MD
1936 MEDICAL DISTRICT DR
DALLAS, TX 75235-7702
Phone number: 214-456-5518
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Mailing Address
AMANDA NICHOLE BRADDOCK MD
1406 LOFTY MAPLE TRL
KINGWOOD, TX 77345-1931
Phone number: 832-330-6561
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