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1831529080
VANZANELL EDWARDS
FORT WORTH, TX
NPI
1831529080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
(Licence: TX 136989)
Enumeration Date
2013-11-24
Last Update Date
2013-11-24
Business Address
-- VANZANELL EDWARDS administor
7801 MARLBOROUGH DR W
FORT WORTH, TX 76134-4309
Phone number: 817-568-1445
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Mailing Address
-- VANZANELL EDWARDS administor
7801 MARLBOROUGH DR W
FORT WORTH, TX 76134-4309
Phone number: 817-568-1445
Copy
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