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1124186507
CHANDRA L MONTGOMERY
WACO, TX
NPI
1124186507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: TX 636019)
Enumeration Date
2006-12-05
Last Update Date
2020-06-15
Business Address
CHANDRA L MONTGOMERY NP
1174 IDLEWOOD DR
WACO, TX 76705-5238
Phone number: 254-214-2558
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Mailing Address
CHANDRA L MONTGOMERY NP
1174 IDLEWOOD DR
WACO, TX 76705-5238
Phone number: 254-214-2558
Copy
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