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1972079788
MYCHELLE BAXTER
BEDFORD, TX
NPI
1972079788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 721456)
Enumeration Date
2018-10-18
Last Update Date
2018-10-18
Business Address
MYCHELLE BAXTER
1900 WIMBLETON DR
BEDFORD, TX 76021-2554
Phone number: 214-475-6396
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Mailing Address
MYCHELLE BAXTER
1900 WIMBLETON DR
BEDFORD, TX 76021-2554
Phone number: 214-475-6396
Copy
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