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1114597176
RACHEL NICOLE LARA
FORT WORTH, TX
NPI
1114597176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1045875)
Enumeration Date
2021-06-30
Last Update Date
2021-12-13
Business Address
RACHEL NICOLE LARA FNP
1401 W PULASKI ST
FORT WORTH, TX 76104-2717
Phone number: 682-885-8012
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Mailing Address
RACHEL NICOLE LARA FNP
PO BOX 99213
FORT WORTH, TX 76199-0213
Phone number: 682-885-1860
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