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1245790914
FARIDY MAYA MOMBELEUR
DECATUR, TX
NPI
1245790914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: TX AP140998)
Enumeration Date
2019-03-20
Last Update Date
2022-10-19
Business Address
FARIDY MAYA MOMBELEUR
2000 S FM 51 STE C
DECATUR, TX 76234-3702
Phone number: 940-626-1848
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Mailing Address
FARIDY MAYA MOMBELEUR
1816 S FM 51 STE 400
DECATUR, TX 76234-3788
Phone number: 940-626-1848
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