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1427689108
AMANDA JO TEJERA
GRAND PRAIRIE, TX
NPI
1427689108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX F12190188)
Enumeration Date
2020-01-30
Last Update Date
2020-01-30
Business Address
AMANDA JO TEJERA
2637 FAIRMONT DR
GRAND PRAIRIE, TX 75052-4009
Phone number: 817-964-8349
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Mailing Address
AMANDA JO TEJERA
2637 FAIRMONT DR
GRAND PRAIRIE, TX 75052-4009
Phone number: 817-964-8349
Copy
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