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1083259766
MIREYA ADAME
BASTROP, TX
NPI
1083259766
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1053210)
Enumeration Date
2019-11-17
Last Update Date
2023-02-09
Business Address
MIREYA ADAME APRN
489 AGNES ST STE 100
BASTROP, TX 78602-2157
Phone number: 512-887-7533
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Mailing Address
MIREYA ADAME APRN
107 FAIRWAY CT
BASTROP, TX 78602-7489
Phone number: 479-461-2667
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