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1477983724
DOUGLAS WONDRA
CORPUS CHRISTI, TX
NPI
1477983724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: TX 535397)
Enumeration Date
2013-11-23
Last Update Date
2013-11-23
Business Address
-- DOUGLAS WONDRA
7101 S PADRE ISLAND DR
CORPUS CHRISTI, TX 78412-4913
Phone number: 361-761-2020
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Mailing Address
-- DOUGLAS WONDRA
294 HOUSE AVE
SANDIA, TX 78383-4098
Phone number: 361-960-6213
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