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1558037275
MIRIAM SORAYA MEDINA
FRISCO, TX
NPI
1558037275
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1051794)
Enumeration Date
2021-08-22
Last Update Date
2021-11-09
Business Address
MIRIAM SORAYA MEDINA FNP
4885 EL DORADO PKWY
FRISCO, TX 75033-8662
Phone number: 972-464-5746
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Mailing Address
MIRIAM SORAYA MEDINA FNP
117 PAEGLOW ST
SAN ANTONIO, TX 78235-1007
Phone number: 210-324-1737
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