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1275713885
MARIAMMA SUNNY MATHEW
DALLAS, TX
NPI
1275713885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX 645286)
Enumeration Date
2007-11-12
Last Update Date
2008-11-22
Business Address
-- MARIAMMA SUNNY MATHEW PNP
5201 HARRY HINES BLVD MEDICAL STAFF SERVICES
DALLAS, TX 75235-7708
Phone number: 214-590-8006
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Mailing Address
-- MARIAMMA SUNNY MATHEW PNP
PO BOX 660599
DALLAS, TX 75266-0599
Phone number:
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