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Individual

MRS. MARTHA KINGMAN LIBERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
5939 HARRY HINES BLVD, POB II SUITE 603, DALLAS, TX 75390-0001
(214) 645-5505
(214) 645-5640
Mailing address
5939 HARRY HINES BLVD, POB II SUITE 603, DALLAS, TX 75390-0001
(214) 645-5505
(214) 645-5640

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
557107
TX

Other

Enumeration date
06/06/2007
Last updated
04/17/2014
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