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Individual

MRS. AMBER WATTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
101 N ZANG BLVD, DALLAS, TX 75208-4528
(817) 490-7805
Mailing address
13065 FENCEROW RD, KELLER, TX 76248-8103
(817) 490-7805

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
05/14/2007
Last updated
07/08/2007
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