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1952138794
FANTAMAFAYE NEVELS
DALLAS, TX
NPI
1952138794
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1031421)
Enumeration Date
2024-09-16
Last Update Date
2024-09-19
Business Address
Mrs. FANTAMAFAYE NEVELS PMHNP
539 W COMMERCE ST # 1822
DALLAS, TX 75208-1953
Phone number: 225-937-9588
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Mailing Address
Mrs. FANTAMAFAYE NEVELS PMHNP
6721 SUMMERS DR E APT 365
FORT WORTH, TX 76137-6574
Phone number: 225-439-9711
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