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1346750932
REBECCA TESS BIRDSALL
SOUTHLAKE, TX
NPI
1346750932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX AP135364)
Enumeration Date
2017-10-09
Last Update Date
2024-05-15
Business Address
REBECCA TESS BIRDSALL
2485 E SOUTHLAKE BLVD STE 100
SOUTHLAKE, TX 76092-6687
Phone number: 817-873-0595
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Mailing Address
REBECCA TESS BIRDSALL
2485 E SOUTHLAKE BLVD STE 100
SOUTHLAKE, TX 76092-6687
Phone number: 817-873-0595
Copy
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