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1710641089
MARY MEDINA
MCKINNEY, TX
NPI
1710641089
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1057358)
Enumeration Date
2021-10-23
Last Update Date
2021-10-23
Business Address
Mrs. MARY MEDINA PMHNP
4300 COMMUNITY AVE
MCKINNEY, TX 75071-2535
Phone number: 972-547-5232
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Mailing Address
Mrs. MARY MEDINA PMHNP
13353 CITRUS LN
FRISCO, TX 75035-0024
Phone number: 972-400-5060
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