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1841615796
CAROL BROOM
FORNEY, TX
NPI
1841615796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 737648)
Enumeration Date
2014-03-03
Last Update Date
2014-03-03
Business Address
-- CAROL BROOM
992 E US HIGHWAY 80
FORNEY, TX 75126-8709
Phone number: 972-552-2920
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Mailing Address
-- CAROL BROOM
312 DOWELL RD
ROCKWALL, TX 75032-7172
Phone number: 972-948-7949
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