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1104430651
AMANDA RAYE JUAREZ
FORT WORTH, TX
NPI
1104430651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: TX 1011770)
Enumeration Date
2020-09-02
Last Update Date
2021-04-13
Business Address
Ms. AMANDA RAYE JUAREZ CPNP-PC
1500 COOPER ST
FORT WORTH, TX 76104-2710
Phone number: 682-885-1990
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Mailing Address
Ms. AMANDA RAYE JUAREZ CPNP-PC
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-6483
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