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1285194126
LI JUAN POLVADORE
HOUSTON, TX
NPI
1285194126
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP133716)
Enumeration Date
2019-03-25
Last Update Date
2023-09-12
Business Address
LI JUAN POLVADORE
7877 WILLOW CHASE BLVD
HOUSTON, TX 77070-5934
Phone number: 832-869-4818
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Mailing Address
LI JUAN POLVADORE
4110 BLUE FOREST DR
HUMBLE, TX 77346-3245
Phone number: 405-831-0128
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