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1114261401
MARY MICHELLE LIVELY
DALLAS, TX
NPI
1114261401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP122051)
Enumeration Date
2012-11-27
Last Update Date
2016-09-20
Business Address
Ms. MARY MICHELLE LIVELY NP-C
8198 WALNUT HILL LN STE 100
DALLAS, TX 75231-4316
Phone number: 214-345-4449
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Mailing Address
Ms. MARY MICHELLE LIVELY NP-C
8198 WALNUT HILL LN STE 100
DALLAS, TX 75231-4316
Phone number: 214-345-4449
Copy
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