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1093255580
SUTHA M FERNANDO
CARROLLTON, TX
NPI
1093255580
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Professional Name
NA NA NA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP133138)
Enumeration Date
2017-03-02
Last Update Date
2020-02-05
Business Address
SUTHA M FERNANDO
2760 E TRINITY MILLS RD STE 115
CARROLLTON, TX 75006-2194
Phone number: 214-949-1209
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Mailing Address
SUTHA M FERNANDO
2760 E TRINITY MILLS RD STE 115
CARROLLTON, TX 75006-2194
Phone number: 214-949-1209
Copy
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