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1730737214
MIRANDA ELLISA BAUMGUARDNER
ODESSA, TX
NPI
1730737214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP137886)
Enumeration Date
2019-08-28
Last Update Date
2022-10-27
Business Address
MIRANDA ELLISA BAUMGUARDNER FNP-C
500 W 4TH ST
ODESSA, TX 79761-5001
Phone number: 432-640-1883
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Mailing Address
MIRANDA ELLISA BAUMGUARDNER FNP-C
500 W 4TH ST
ODESSA, TX 79761-5001
Phone number: 432-640-1883
Copy
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