CARRA MICHELLE DEDUSEVIC

FORT WORTH, TX
NPI1225421654
Former NameCARRA MICHELLE TEADT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  AP127513)
Enumeration Date2015-03-10
Last Update Date2015-03-10
Business Address
-- CARRA MICHELLE DEDUSEVIC APRN
1350 S MAIN ST STE 3300
FORT WORTH, TX 76104-7655
Phone number: 817-702-4925
Mailing Address
-- CARRA MICHELLE DEDUSEVIC APRN
1617 HEMPHILL ST
FORT WORTH, TX 76104-4709
Phone number:
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