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1861954802
LARA G STAHL
GRAND PRAIRIE, TX
NPI
1861954802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP141209)
Enumeration Date
2019-04-01
Last Update Date
2019-04-01
Business Address
LARA G STAHL MSN, RN, FNP-C
1701 W MARSHALL DR BLDG M-1
GRAND PRAIRIE, TX 75051-2704
Phone number: 682-777-1228
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Mailing Address
LARA G STAHL MSN, RN, FNP-C
3709 DALTON ST
FORT WORTH, TX 76244-7614
Phone number: 682-777-1228
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