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1962049619
GRACE BENASA BARDELOZA
DENTON, TX
NPI
1962049619
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP141002)
Enumeration Date
2019-12-02
Last Update Date
2019-12-02
Business Address
GRACE BENASA BARDELOZA NP
3321 COLORADO BLVD
DENTON, TX 76210-6817
Phone number: 940-382-9429
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Mailing Address
GRACE BENASA BARDELOZA NP
423 PATRICIA LN
HIGHLAND VILLAGE, TX 75077-7114
Phone number: 972-363-3673
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