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1124507306
BAM LEACH-WONGSAPROME
FORT WORTH, TX
NPI
1124507306
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 841712)
Enumeration Date
2018-08-09
Last Update Date
2018-08-09
Business Address
BAM LEACH-WONGSAPROME RN
3883 MIGHTY MITE DRIVE
FORT WORTH, TX 76119
Phone number: 817-335-3022
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Mailing Address
BAM LEACH-WONGSAPROME RN
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-569-4300
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