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1669810016
MICHELLE JAVELLANA DE LA CRUZ
CARROLLTON, TX
NPI
1669810016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: TX 708814)
Enumeration Date
2013-06-07
Last Update Date
2023-04-27
Business Address
MICHELLE JAVELLANA DE LA CRUZ ANP-BC
4343 N JOSEY LN
CARROLLTON, TX 75010-4603
Phone number: 469-835-6436
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Mailing Address
MICHELLE JAVELLANA DE LA CRUZ ANP-BC
632 LAKE CITY DR
LEWISVILLE, TX 75056-4164
Phone number: 469-835-6436
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