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1528684610
CHANITA R. WOODBERRY
FORT WORTH, TX
NPI
1528684610
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP145375)
Enumeration Date
2020-06-24
Last Update Date
2024-04-15
Business Address
CHANITA R. WOODBERRY APRN
1101 S MAIN ST
FORT WORTH, TX 76104-4802
Phone number: 817-321-5305
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Mailing Address
CHANITA R. WOODBERRY APRN
1101 S MAIN ST
FORT WORTH, TX 76104-4802
Phone number: 817-321-4900
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