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1114657418
JUSTIN DANIEL SUDBECK
KELLER, TX
NPI
1114657418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX 1084140)
Enumeration Date
2022-06-10
Last Update Date
2022-06-10
Business Address
JUSTIN DANIEL SUDBECK APRN, AGACNP-BC
1866 KELLER PKWY STE B
KELLER, TX 76248-3763
Phone number: 682-337-3810
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Mailing Address
JUSTIN DANIEL SUDBECK APRN, AGACNP-BC
1220 N KNOWLES DR
SAGINAW, TX 76179-1024
Phone number: 682-208-0984
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