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1629095245
LEE A WYNNE
FORT WORTH, TX
NPI
1629095245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 237106)
Enumeration Date
2006-07-17
Last Update Date
2009-09-23
Business Address
-- LEE A WYNNE WHNP
1250 8TH AVENUE SUITE 430
FORT WORTH, TX 76104-2158
Phone number: 817-923-0023
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Mailing Address
-- LEE A WYNNE WHNP
PO BOX 961205
FORT WORTH, TX 76161-1205
Phone number: 817-740-8400
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