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1871717942
COREEN VON FAZAKERLY
HOUSTON, TX
NPI
1871717942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 511846)
Enumeration Date
2007-04-12
Last Update Date
2011-01-12
Business Address
-- COREEN VON FAZAKERLY NP
6620 MAIN ST SUITE 1350
HOUSTON, TX 77030-2348
Phone number: 713-798-4696
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Mailing Address
-- COREEN VON FAZAKERLY NP
2 GREENWAY PLZ SUITE 910
HOUSTON, TX 77046-0297
Phone number: 713-798-1750
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