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1952394512
SALLY S MCMILLAN-DENGERUD
PALESTINE, TX
NPI
1952394512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 219839)
Enumeration Date
2005-08-29
Last Update Date
2014-07-22
Business Address
-- SALLY S MCMILLAN-DENGERUD NP
2900 S LOOP 256 SUITE 100
PALESTINE, TX 75801-6958
Phone number: 903-723-8210
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Mailing Address
-- SALLY S MCMILLAN-DENGERUD NP
PO BOX 817
PALESTINE, TX 75802-0817
Phone number: 903-727-0110
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