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1467437954
CONNIE E DEDMON
FORT WORTH, TX
NPI
1467437954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX 230593)
Enumeration Date
2005-12-07
Last Update Date
2012-04-03
Business Address
-- CONNIE E DEDMON PNP
4405 RIVER OAKS BLVD
FORT WORTH, TX 76114-2326
Phone number: 817-624-1770
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Mailing Address
-- CONNIE E DEDMON PNP
PO BOX 99371
FORT WORTH, TX 76199-0371
Phone number: 682-885-1855
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