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1265950414
KATIE LOUISE PEMBERTON
AMARILLO, TX
NPI
1265950414
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP134557)
Enumeration Date
2017-09-07
Last Update Date
2020-03-09
Business Address
Mrs. KATIE LOUISE PEMBERTON FNP-C
2001 S COULTER ST STE 2001
AMARILLO, TX 79106-2521
Phone number: 806-351-7070
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Mailing Address
Mrs. KATIE LOUISE PEMBERTON FNP-C
PO BOX 3046 ATTN. IPM CREDENTIALING
MALVERN, PA 19355-0746
Phone number: 806-351-7070
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