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1639587462
MISTIE B. GRANBERRY
FORT WORTH, TX
NPI
1639587462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX AP125723)
Enumeration Date
2014-07-24
Last Update Date
2014-07-25
Business Address
MISTIE B. GRANBERRY FNP
1250 8TH AVE STE 240
FORT WORTH, TX 76104-4139
Phone number: 817-927-0456
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Mailing Address
MISTIE B. GRANBERRY FNP
P.O. BOX 961205
FORT WORTH, TX 76161-1205
Phone number: 817-740-8400
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