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1598260093
CAROL ELIZABETH LEIDLEIN
FORT WORTH, TX
NPI
1598260093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX AP136041)
Enumeration Date
2018-03-27
Last Update Date
2022-09-02
Business Address
Ms. CAROL ELIZABETH LEIDLEIN APRN
909 9TH AVE STE 400
FORT WORTH, TX 76104-3932
Phone number: 817-877-4105
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Mailing Address
Ms. CAROL ELIZABETH LEIDLEIN APRN
1000 W CANNON ST
FORT WORTH, TX 76104-3029
Phone number: 817-725-7900
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