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1679110332
CHARLES JAMES MCKENNA
PLANO, TX
NPI
1679110332
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX AP141458)
Enumeration Date
2019-12-02
Last Update Date
2019-12-02
Business Address
CHARLES JAMES MCKENNA
6124 W PARKER RD STE 530
PLANO, TX 75093-8140
Phone number: 214-778-1075
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Mailing Address
CHARLES JAMES MCKENNA
8904 QUARRY RIDGE TRAIL
KELLER, TX 76244
Phone number: 361-815-3393
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