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1215531231
JUDY PRATHOUMVANH
DALLAS, TX
NPI
1215531231
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX 1019614)
Enumeration Date
2020-11-30
Last Update Date
2020-11-30
Business Address
JUDY PRATHOUMVANH APRN
1441 N BECKLEY AVE
DALLAS, TX 75203-1201
Phone number: 214-960-5681
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Mailing Address
JUDY PRATHOUMVANH APRN
221 W COLORADO BLVD PAV 2/SUITE 525
DALLAS, TX 75208
Phone number: 817-851-5358
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