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1598370942
CHARLOTTE LAWRENTA FATIREGUN
PROSPER, TX
NPI
1598370942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TX 1012433)
Enumeration Date
2020-09-12
Last Update Date
2020-09-12
Business Address
CHARLOTTE LAWRENTA FATIREGUN FNP
221 HIDDEN LAKE DR
PROSPER, TX 75078-8705
Phone number: 646-261-6656
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Mailing Address
CHARLOTTE LAWRENTA FATIREGUN FNP
221 HIDDEN LAKE DR
PROSPER, TX 75078-8705
Phone number: 646-261-6656
Copy
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