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1548551369
MARCIA BREITHAUPT UPSON
RICHARDSON, TX
NPI
1548551369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 569444)
Enumeration Date
2011-04-27
Last Update Date
2011-04-27
Business Address
Ms. MARCIA BREITHAUPT UPSON NP
37 KILDONAN
RICHARDSON, TX 75082-2674
Phone number: 972-495-0548
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Mailing Address
Ms. MARCIA BREITHAUPT UPSON NP
37 KILDONAN
RICHARDSON, TX 75082-2674
Phone number: 972-495-0548
Copy
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