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1396147583
LA SHANDA MONTGOMERY
MANSFIELD, TX
NPI
1396147583
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP126363)
Enumeration Date
2014-09-19
Last Update Date
2017-04-27
Business Address
-- LA SHANDA MONTGOMERY MSN, RN, FNP-C
980 HWY N. 287
MANSFIELD, TX 76063
Phone number: 817-912-8565
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Mailing Address
-- LA SHANDA MONTGOMERY MSN, RN, FNP-C
980 HWY N 287
MANSFIELD, TX 76063
Phone number:
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