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1912593252
SOPA MAHABOONPACHAI
PLANO, TX
NPI
1912593252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1013544)
Enumeration Date
2020-12-20
Last Update Date
2024-02-16
Business Address
Mrs. SOPA MAHABOONPACHAI APRN/FNP-C
7709 SAN JACINTO PL STE 100
PLANO, TX 75024-3369
Phone number: 972-491-1200
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Mailing Address
Mrs. SOPA MAHABOONPACHAI APRN/FNP-C
4525 PORTRAIT LN
PLANO, TX 75024-3847
Phone number: 972-212-9431
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