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1629532551
ASHLEY MARIE CHURCH
FORT WORTH, TX
NPI
1629532551
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Former Name
ASHLEY MARIE LEIJA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX AP140391)
Enumeration Date
2019-01-24
Last Update Date
2019-03-08
Business Address
ASHLEY MARIE CHURCH FNP
1250 8TH AVE STE 320
FORT WORTH, TX 76104-4139
Phone number: 817-924-2111
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Mailing Address
ASHLEY MARIE CHURCH FNP
P.O. BOX 961205
FORT WORTH, TX 76161-1205
Phone number: 817-740-8450
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