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1609257534
PETYA TASKOV
FORT WORTH, TX
NPI
1609257534
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP 128272)
Enumeration Date
2015-06-16
Last Update Date
2022-11-14
Business Address
PETYA TASKOV
1325 PENNSYLVANIA AVE STE 890
FORT WORTH, TX 76104-2145
Phone number: 817-250-7230
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Mailing Address
PETYA TASKOV
1617 HEMPHILL ST
FORT WORTH, TX 76104-4709
Phone number: 817-702-3381
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