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1568160489
LOVE FIELD CLINIC LLC
DALLAS, TX
NPI
1568160489
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Entity Type
Organization
Authorized Contact
RAFAEL FONSECA
Fnp
469-917-8363
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2023-02-20
Last Update Date
2024-09-09
Business Address
LOVE FIELD CLINIC LLC
9429 EL CENTRO DR STE 100
DALLAS, TX 75220-4960
Phone number: 469-917-8363
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Mailing Address
LOVE FIELD CLINIC LLC
9429 EL CENTRO DR STE 100
DALLAS, TX 75220-4960
Phone number:
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