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1508525585
MICAH MADDEN
DALLAS, TX
NPI
1508525585
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1034186)
Enumeration Date
2021-12-16
Last Update Date
2021-12-16
Business Address
MICAH MADDEN NP
10455 N CENTRAL EXPY
DALLAS, TX 75231-2213
Phone number: 972-704-1091
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Mailing Address
MICAH MADDEN NP
1116 BARRIX DR
FORNEY, TX 75126-3305
Phone number: 304-687-8215
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