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1174283295
MIRANDA RAE MARSHALL
FORT WORTH, TX
NPI
1174283295
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX 1054425)
Enumeration Date
2021-12-30
Last Update Date
2021-12-30
Business Address
MIRANDA RAE MARSHALL AGACNP-BC
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2122
Phone number: 817-250-5000
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Mailing Address
MIRANDA RAE MARSHALL AGACNP-BC
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2122
Phone number:
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