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1770556698
FAWN MARIE WILLARD
FORT WORTH, TX
NPI
1770556698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP126173)
Enumeration Date
2006-02-10
Last Update Date
2016-03-24
Business Address
-- FAWN MARIE WILLARD FNP
3529 HERITAGE TRACE PKWY STE 137
FORT WORTH, TX 76244-4971
Phone number: 817-741-7960
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Mailing Address
-- FAWN MARIE WILLARD FNP
3529 HERITAGE TRACE PKWY STE 137
FORT WORTH, TX 76244-4971
Phone number: 817-741-7960
Copy
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