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1780277269
DORINE OWEKE OWALLA
FORT WORTH, TX
NPI
1780277269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 780817)
Enumeration Date
2021-02-16
Last Update Date
2021-02-16
Business Address
DORINE OWEKE OWALLA
9812 AMARANTH DR
FORT WORTH, TX 76177-3217
Phone number: 817-449-3005
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Mailing Address
DORINE OWEKE OWALLA
9812 AMARANTH DR
FORT WORTH, TX 76177-3217
Phone number: 817-449-3005
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