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Individual

MS. LYSIANNE PHAM DUBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
2201 HERITAGE PKWY STE 111, MANSFIELD, TX 76063-5628
(817) 472-7700
Mailing address
1305 BLANCO TRL, MANSFIELD, TX 76063-1856
(858) 225-9525

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95008968
CA

Other

Enumeration date
04/28/2018
Last updated
09/11/2025
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