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1649862285
DAREN DANIEL WISE
AMARILLO, TX
NPI
1649862285
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX 1027305)
Enumeration Date
2021-02-04
Last Update Date
2021-06-23
Business Address
Mr. DAREN DANIEL WISE APRN
7908 PROGRESS DR
AMARILLO, TX 79119-7310
Phone number: 806-335-0551
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Mailing Address
Mr. DAREN DANIEL WISE APRN
PO BOX 840026
DALLAS, TX 75284-0026
Phone number: 806-212-6965
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