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1265983787
ANTHONY KETCHERSID
WICHITA FALLS, TX
NPI
1265983787
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX AP132307)
Enumeration Date
2016-10-19
Last Update Date
2023-09-13
Business Address
ANTHONY KETCHERSID PMHNP
6515 KEMP BLVD
WICHITA FALLS, TX 76308-5419
Phone number: 940-692-1220
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Mailing Address
ANTHONY KETCHERSID PMHNP
1808 ROSE ST
WICHITA FALLS, TX 76301-4219
Phone number: 940-723-4488
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