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1689325987
HALEY OTTO
FORT WORTH, TX
NPI
1689325987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1133340)
Enumeration Date
2022-01-18
Last Update Date
2024-06-11
Business Address
HALEY OTTO
1650 W ROSEDALE ST STE 220
FORT WORTH, TX 76104-7432
Phone number: 682-312-4038
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Mailing Address
HALEY OTTO
1650 W ROSEDALE ST STE 220
FORT WORTH, TX 76104-7432
Phone number: 682-312-4038
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