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1790493609
AMANDA TEDFORD
DALLAS, TX
NPI
1790493609
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 205704)
Enumeration Date
2022-11-09
Last Update Date
2022-11-09
Business Address
AMANDA TEDFORD
4055 VALLEY VIEW LANE
DALLAS, TX 75244
Phone number: 405-245-6595
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Mailing Address
AMANDA TEDFORD
7916 NW 23RD ST # 127
BETHANY, OK 73008-4950
Phone number: 405-245-6595
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