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1619417268
STEPHANIE BRAGG SLACK
DALLAS, TX
NPI
1619417268
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 803296)
Enumeration Date
2017-03-01
Last Update Date
2022-04-11
Business Address
STEPHANIE BRAGG SLACK NP
6242 PALO PINTO AVE
DALLAS, TX 75214-3616
Phone number: 214-707-6428
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Mailing Address
STEPHANIE BRAGG SLACK NP
6242 PALO PINTO AVE
DALLAS, TX 75214-3616
Phone number: 214-707-6428
Copy
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