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Individual

MS. MABLE CLAIRE MCCALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
4105 JUNIUS STREET, AGAPE CLINIC @ GUMC, DALLAS, TX 75246
(214) 824-2744
(214) 823-9952
Mailing address
4105 JUNIUS STREET, AGAPE CLINIC, DALLAS, TX 75246
(214) 824-2744
(214) 823-9952

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
5700063
TX
163WP2201X
Ambulatory Care Registered Nurse
Primary
5700063
TX
163WW0101X
Ambulatory Women's Health Care Registered Nurse
5700063
TX

Other

Enumeration date
11/29/2012
Last updated
11/29/2012
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