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1770151862
TSHIALA BUPOLA
FORT WORTH, TX
NPI
1770151862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1044102)
Enumeration Date
2021-06-15
Last Update Date
2021-06-15
Business Address
TSHIALA BUPOLA PMHNP
2924 VICKSBURG LN
FORT WORTH, TX 76123-1627
Phone number: 518-491-9384
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Mailing Address
TSHIALA BUPOLA PMHNP
2924 VICKSBURG LN
FORT WORTH, TX 76123-1627
Phone number: 518-491-9384
Copy
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