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1720374515
IVONNE BRAXTON
FORT WORTH, TX
NPI
1720374515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 677692)
Enumeration Date
2011-06-21
Last Update Date
2020-06-16
Business Address
IVONNE BRAXTON Fnp-bc
6115 CAMP BOWIE BLVD STE 140
FORT WORTH, TX 76116-5500
Phone number: 817-416-5698
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Mailing Address
IVONNE BRAXTON Fnp-bc
1900 KINGSBRIDGE LN
KELLER, TX 76262-4908
Phone number: 956-650-0186
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