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1962050369
BRENDA FAYE AMADOR WALLACE
SAN ANTONIO, TX
NPI
1962050369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP142489)
Enumeration Date
2019-08-28
Last Update Date
2019-08-28
Business Address
BRENDA FAYE AMADOR WALLACE APRN
2115 PLEASANTON RD
SAN ANTONIO, TX 78221-1321
Phone number: 210-922-3627
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Mailing Address
BRENDA FAYE AMADOR WALLACE APRN
25311 SINGING RAIN
SAN ANTONIO, TX 78260-6268
Phone number: 210-355-8600
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