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1225786932
ALISA D CUPP
FORT WORTH, TX
NPI
1225786932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1056561)
Enumeration Date
2022-03-11
Last Update Date
2023-01-12
Business Address
ALISA D CUPP APRN-CNP
9509 N BEACH ST STE 102
FORT WORTH, TX 76244-6399
Phone number: 817-396-7271
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Mailing Address
ALISA D CUPP APRN-CNP
7012 GREENSPOINT DR
ARLINGTON, TX 76001-6780
Phone number: 806-220-6141
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