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1881356574
CORETTA CARTER
GRAND PRAIRIE, TX
NPI
1881356574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1092111)
Enumeration Date
2021-10-10
Last Update Date
2022-09-08
Business Address
CORETTA CARTER FNP
3166 S STATE HIGHWAY 161 STE 170
GRAND PRAIRIE, TX 75052-7720
Phone number: 972-640-0005
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Mailing Address
CORETTA CARTER FNP
1621 W PEACE ST
CANTON, MS 39046-9041
Phone number: 601-391-2716
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