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1821862210
AMANDA CAUDILLO
IRVING, TX
NPI
1821862210
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1140693)
Enumeration Date
2023-11-07
Last Update Date
2023-11-07
Business Address
AMANDA CAUDILLO
800 W AIRPORT FWY STE 230
IRVING, TX 75062-6297
Phone number: 214-557-4111
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Mailing Address
AMANDA CAUDILLO
9441 LBJ FWY STE 114
DALLAS, TX 75243-4635
Phone number: 214-557-4111
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