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1720080138
KIM RENAE MOWERY
COPPELL, TX
NPI
1720080138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX 660006)
Enumeration Date
2005-08-15
Last Update Date
2010-04-16
Business Address
Mrs. KIM RENAE MOWERY RN, MS, CPNP
760 N DENTON TAP RD SUITE 130
COPPELL, TX 75019-2163
Phone number: 972-420-1475
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Mailing Address
Mrs. KIM RENAE MOWERY RN, MS, CPNP
PO BOX 2429
COPPELL, TX 75019-8429
Phone number: 972-420-1475
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