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1821823956
AUTUMN WEIDENBACH
DALLAS, TX
NPI
1821823956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1170316)
Enumeration Date
2024-09-06
Last Update Date
2024-09-06
Business Address
AUTUMN WEIDENBACH APRN
5445 LA SIERRA DR STE 105
DALLAS, TX 75231-2352
Phone number: 214-540-1428
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Mailing Address
AUTUMN WEIDENBACH APRN
1710 PLUMMER DR
ROCKWALL, TX 75087-2321
Phone number: 972-849-5026
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