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1316609910
SUSANA MUNOZ ORTIZ
GRAND PRAIRIE, TX
NPI
1316609910
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TX 1054561)
Enumeration Date
2021-10-11
Last Update Date
2021-10-29
Business Address
SUSANA MUNOZ ORTIZ
410 E PIONEER PKWY STE 300
GRAND PRAIRIE, TX 75051-4984
Phone number: 469-733-1890
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Mailing Address
SUSANA MUNOZ ORTIZ
122 W JOHN CARPENTER FWY STE 420
IRVING, TX 75039-2014
Phone number: 972-957-3000
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