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1508104001
MIA CARROLL MARTIN
DALLAS, TX
NPI
1508104001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX 720959)
Enumeration Date
2013-01-18
Last Update Date
2020-08-20
Business Address
-- MIA CARROLL MARTIN RN, CPNP
1935 MEDICAL DISTRICT DR CHILDREN'S MEDICAL CENTER
DALLAS, TX 75235-7701
Phone number: 806-786-3781
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Mailing Address
-- MIA CARROLL MARTIN RN, CPNP
1935 MEDICAL DISTRICT DR CHILDREN'S MEDICAL CENTER
DALLAS, TX 75235-7701
Phone number: 806-786-3781
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