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1285223966
AMANDA WALLS
FORT WORTH, TX
NPI
1285223966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1026745)
Enumeration Date
2021-01-15
Last Update Date
2021-01-15
Business Address
AMANDA WALLS APRN-FNP
6161 BOWFIN DR
FORT WORTH, TX 76179-7573
Phone number: 940-704-5411
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Mailing Address
AMANDA WALLS APRN-FNP
6161 BOWFIN DR
FORT WORTH, TX 76179-7573
Phone number:
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