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1952359200
DANISE A PETTICREW
PARIS, TX
NPI
1952359200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 249797)
Enumeration Date
2006-05-05
Last Update Date
2015-01-29
Business Address
-- DANISE A PETTICREW RN, FNP-C
635 STONE AVE
PARIS, TX 75460-9342
Phone number: 903-785-3300
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Mailing Address
-- DANISE A PETTICREW RN, FNP-C
1133 MEDICAL DR
TYLER, TX 75701-2130
Phone number: 903-595-5486
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