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1104589183
MALLORI WEAVER HERNANDEZ
AUSTIN, TX
NPI
1104589183
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1057095)
Enumeration Date
2021-10-18
Last Update Date
2023-06-08
Business Address
MALLORI WEAVER HERNANDEZ NP
11673 JOLLYVILLE RD STE 202
AUSTIN, TX 78759-4211
Phone number: 512-342-7979
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Mailing Address
MALLORI WEAVER HERNANDEZ NP
10500 LAKELINE MALL DR APT 4202
AUSTIN, TX 78717-0078
Phone number: 512-214-2700
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