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1720713969
EDITH MARIE MENDOZA
SOUTHLAKE, TX
NPI
1720713969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX AP1088173)
Enumeration Date
2022-07-21
Last Update Date
2022-07-21
Business Address
EDITH MARIE MENDOZA NP
2485 E SOUTHLAKE BLVD STE 100
SOUTHLAKE, TX 76092-6687
Phone number: 817-873-0590
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Mailing Address
EDITH MARIE MENDOZA NP
2485 E SOUTHLAKE BLVD STE 100
SOUTHLAKE, TX 76092-6687
Phone number: 817-873-0590
Copy
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