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1740973577
DESIREE GLENN DEMANAWA
TEMPLE, TX
NPI
1740973577
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: TX 1017094)
Enumeration Date
2023-05-29
Last Update Date
2023-09-12
Business Address
DESIREE GLENN DEMANAWA FNP
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 254-724-2111
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Mailing Address
DESIREE GLENN DEMANAWA FNP
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 800-944-0371
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