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1568738730
AMANDA M SUSTAITA
DALLAS, TX
NPI
1568738730
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 730895)
Enumeration Date
2012-03-31
Last Update Date
2012-10-23
Business Address
-- AMANDA M SUSTAITA NP
12221 MERIT DR STE. 1600
DALLAS, TX 75251-2202
Phone number: 214-217-1935
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Mailing Address
-- AMANDA M SUSTAITA NP
12221 MERIT DR STE. 1600
DALLAS, TX 75251-2202
Phone number: 214-217-1935
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