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Individual

MS. CHERYL DIANE MICHAEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP, MSN, RN

Contact information

Practice address
4500 S LANCASTER RD, AMBULATORY CARE, CLINIC #11, DALLAS, TX 75216-7167
(180) 084-9395
Mailing address
906 ROCK CREEK DR, RED OAK, TX 75154-3957
(972) 617-6606

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
450322
TX

Other

Enumeration date
09/01/2006
Last updated
07/08/2007
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