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1386056695
MIRAIE WARDI
BEDFORD, TX
NPI
1386056695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: TX S2196)
Enumeration Date
2014-05-21
Last Update Date
2019-08-22
Business Address
MIRAIE WARDI D.O
2425 HIGHWAY 121 STE 201
BEDFORD, TX 76021-5011
Phone number: 817-283-5166
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Mailing Address
MIRAIE WARDI D.O
3801 WILLIAM D TATE AVE STE 105
GRAPEVINE, TX 76051-8755
Phone number: 817-488-6812
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