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Individual

AWANNA HAWTHORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5201 HARRY HINES BLVD, DALLAS, TX 75235-7708
(214) 590-8901
Mailing address
306 OAK MEADOW LN, CEDAR HILL, TX 75104-3284
(214) 417-0287

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP127714
TX

Other

Enumeration date
09/01/2015
Last updated
09/01/2015
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