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1851997449
LIBERTY MCINTOSH
FORT WORTH, TX
NPI
1851997449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1010247)
Enumeration Date
2020-12-08
Last Update Date
2022-03-01
Business Address
LIBERTY MCINTOSH
710 W LEUDA ST
FORT WORTH, TX 76104-3114
Phone number: 817-702-5958
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Mailing Address
LIBERTY MCINTOSH
710 W LEUDA ST
FORT WORTH, TX 76104-3114
Phone number:
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