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1962747840
MELISSA PRIDEMORE
FORT WORTH, TX
NPI
1962747840
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Former Name
MELISSA EDENFIELD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 644082)
Enumeration Date
2012-12-04
Last Update Date
2016-04-08
Business Address
-- MELISSA PRIDEMORE FNP-C
7313 S HULEN ST
FORT WORTH, TX 76133-6616
Phone number: 817-945-2277
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Mailing Address
-- MELISSA PRIDEMORE FNP-C
7313 S HULEN ST
FORT WORTH, TX 76133-6616
Phone number: 817-945-2277
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