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1114595436
THERESA NOWAK
FORT SAM HOUSTON, TX
NPI
1114595436
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: MN 8123)
Enumeration Date
2021-06-14
Last Update Date
2021-06-14
Business Address
THERESA NOWAK NP
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-539-9582
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Mailing Address
THERESA NOWAK NP
6119 RIO OLMOS PASS
SAN ANTONIO, TX 78247-4454
Phone number: 651-245-4320
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