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Individual
EDITH DECLAN
Active
Individual
EDITH DECLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
931021
TX
207Q00000X
Family Medicine Physician
Primary
1046603
TX
363LF0000X
Family Nurse Practitioner
Primary
1046603
TX
Other
Enumeration date
09/14/2018
Last updated
06/01/2026
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