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1275148793
BIANCA ADRIANNA AGNELLO
FORT WORTH, TX
NPI
1275148793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1002992)
Enumeration Date
2020-09-11
Last Update Date
2021-02-09
Business Address
BIANCA ADRIANNA AGNELLO FNP-C
8465 BOAT CLUB RD STE 115
FORT WORTH, TX 76179-3676
Phone number: 817-260-0535
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Mailing Address
BIANCA ADRIANNA AGNELLO FNP-C
8465 BOAT CLUB RD STE 115
FT WORTH, TX 76179-3676
Phone number: 512-799-5366
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