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1629800016
AMANDA MAE DEAVILLEZ
PLANO, TX
NPI
1629800016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX 1171255)
Enumeration Date
2024-08-15
Last Update Date
2024-08-15
Business Address
AMANDA MAE DEAVILLEZ APRN
6101 CHAPEL HILL BLVD STE 101
PLANO, TX 75093-8447
Phone number: 972-312-8188
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Mailing Address
AMANDA MAE DEAVILLEZ APRN
4505 WHITESTONE DR
PARKER, TX 75002-2841
Phone number: 903-272-2912
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