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1891305827
SANDRA BIALOSE
FORT WORTH, TX
NPI
1891305827
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1004824)
Enumeration Date
2020-08-04
Last Update Date
2020-08-04
Business Address
SANDRA BIALOSE
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-702-3653
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Mailing Address
SANDRA BIALOSE
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number:
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