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1548661556
AMANDA D MADISON
DALLAS, TX
NPI
1548661556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP125963)
Enumeration Date
2014-09-09
Last Update Date
2014-09-09
Business Address
-- AMANDA D MADISON FNP
4512 RALPH LN
DALLAS, TX 75227-1845
Phone number: 972-243-7903
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Mailing Address
-- AMANDA D MADISON FNP
2941 TIMBER CREEK TRL
FORT WORTH, TX 76118-7321
Phone number: 469-450-2243
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