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Individual

MARTHA JO ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2224 BONHAM ST, PARIS, TX 75460-3790
(903) 739-2299
(903) 739-2292
Mailing address
2224 BONHAM ST, PARIS, TX 75460-3790
(903) 739-2299
(903) 739-2292

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
414565
TX

Other

Enumeration date
07/21/2008
Last updated
07/21/2008
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