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1356546345
LISA M DALTON
FORT WORTH, TX
NPI
1356546345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 713960)
Enumeration Date
2007-06-19
Last Update Date
2021-04-22
Business Address
LISA M DALTON FNP
1500 COOPER ST
FORT WORTH, TX 76104-2710
Phone number: 682-885-4007
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Mailing Address
LISA M DALTON FNP
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-1855
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