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1366082075
AMY DIANE CARRILLO
ODESSA, TX
NPI
1366082075
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX Ap144543)
Enumeration Date
2020-01-10
Last Update Date
2021-08-24
Business Address
Mrs. AMY DIANE CARRILLO
912 E 5TH ST
ODESSA, TX 79761-4605
Phone number: 432-334-8845
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Mailing Address
Mrs. AMY DIANE CARRILLO
10555 W HACIENDA DR
ODESSA, TX 79763-7208
Phone number: 432-770-2107
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