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1407581283
VIVEK POUDEL
FORT WORTH, TX
NPI
1407581283
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1069750)
Enumeration Date
2022-07-18
Last Update Date
2023-05-23
Business Address
VIVEK POUDEL PMHNP
10640 N RIVERSIDE DR STE 300
FORT WORTH, TX 76244-9507
Phone number: 972-672-2332
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Mailing Address
VIVEK POUDEL PMHNP
9413 CHUPAROSA DR
FORT WORTH, TX 76177-7246
Phone number:
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