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1861092470
JAMES HOMER VALLASTER
BURLESON, TX
NPI
1861092470
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1015580)
Enumeration Date
2020-11-01
Last Update Date
2020-11-01
Business Address
JAMES HOMER VALLASTER APRN FNP-BC
825 CHESTNUT AVE
BURLESON, TX 76028-7061
Phone number: 254-998-0794
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Mailing Address
JAMES HOMER VALLASTER APRN FNP-BC
825 CHESTNUT AVE
BURLESON, TX 76028-7061
Phone number: 254-998-0794
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