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1619396090
WANDA COCKRAN
FORT WORTH, TX
NPI
1619396090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-04-14
Last Update Date
2014-04-14
Business Address
-- WANDA COCKRAN
6617 YOSEMITE DR
FORT WORTH, TX 76112-5236
Phone number: 469-765-6234
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Mailing Address
-- WANDA COCKRAN
6617 YOSEMITE DR
FORT WORTH, TX 76112-5236
Phone number: 469-765-6234
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