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1417722695
QUINTA FONKWA
DALLAS, TX
NPI
1417722695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: TX 1140421)
Enumeration Date
2023-11-17
Last Update Date
2023-11-17
Business Address
QUINTA FONKWA
5315 ROSS AVE
DALLAS, TX 75206-7418
Phone number: 214-826-2151
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Mailing Address
QUINTA FONKWA
8305 LOMA ALTA TRL
MCKINNEY, TX 75070-6029
Phone number: 513-485-0783
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