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Organization
OPTIMAL HEALTH CLINIC
Active
Organization
OPTIMAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISELOTTE ADDEA-AMOAKO DNP (DIRECTOR)
(817) 813-8055
Entity
Organization
Contact information
Practice address
2140 HIGHWAY 157 N, MANSFIELD, TX 76063-4847
(817) 813-8055
(817) 730-9068
Mailing address
2140 HIGHWAY 157 N, MANSFIELD, TX 76063-4847
(817) 813-8055
(817) 730-9068
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP123379
TX
Other
Enumeration date
05/23/2016
Last updated
07/24/2020
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