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1467891341
FANTASIA MIDORI HARRIS
DALLAS, TX
NPI
1467891341
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Former Name
FANTASIA MIDORI ELLIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 705421)
Enumeration Date
2013-06-24
Last Update Date
2013-12-24
Business Address
-- FANTASIA MIDORI HARRIS FNP
1380 RIVER BEND DR
DALLAS, TX 75247-4914
Phone number: 214-743-6159
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Mailing Address
-- FANTASIA MIDORI HARRIS FNP
1380 RIVER BEND DR
DALLAS, TX 75247-4914
Phone number: 214-743-6159
Copy
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