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1649905506
EMMANUEL JOHN LAFORGE
WACO, TX
NPI
1649905506
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1066644)
Enumeration Date
2022-07-22
Last Update Date
2022-07-22
Business Address
EMMANUEL JOHN LAFORGE FNP-C
100 HILLCREST MEDICAL BLVD
WACO, TX 76712-8897
Phone number: 214-289-1835
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Mailing Address
EMMANUEL JOHN LAFORGE FNP-C
620 NIGHTHORSE CIR
WAXAHACHIE, TX 75165-1872
Phone number: 214-289-1835
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