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1740757673
ANDRAEA WYATT
PORTER, TX
NPI
1740757673
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 139020)
Enumeration Date
2018-10-29
Last Update Date
2019-06-27
Business Address
ANDRAEA WYATT FNP-C
23865 FM 1314 RD
PORTER, TX 77365-3727
Phone number: 281-354-1815
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Mailing Address
ANDRAEA WYATT FNP-C
23865 FM 1314 RD
PORTER, TX 77365-3727
Phone number: 281-354-1815
Copy
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