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1568140366
MARY LISA DUARTE
ALICE, TX
NPI
1568140366
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Former Name
MARY LISA TREVINO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1055849)
Enumeration Date
2023-07-11
Last Update Date
2023-07-11
Business Address
MARY LISA DUARTE APRN, PMHNP-BC
614 W FRONT ST
ALICE, TX 78332-7112
Phone number: 361-664-9587
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Mailing Address
MARY LISA DUARTE APRN, PMHNP-BC
200 MARRIOTT DR
PORTLAND, TX 78374-2213
Phone number: 361-777-3991
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