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1164068391
RALF WANCHA
PLANO, TX
NPI
1164068391
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 2019058471)
Enumeration Date
2019-11-22
Last Update Date
2020-10-19
Business Address
RALF WANCHA NP
1947 K AVE STE A400
PLANO, TX 75074-5943
Phone number: 972-535-5099
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Mailing Address
RALF WANCHA NP
1411 N BECKLEY AVE STE 152
DALLAS, TX 75203-1586
Phone number: 214-948-7700
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