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Individual

SHERRY LYNN KOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.F.A.

Contact information

Practice address
6100 HARRIS PARKWAY,, SUITE 320, FORT WORTH, TX 76132
(817) 433-5499
(817) 433-5441
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 433-5441

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
237563
TX

Other

Enumeration date
03/16/2007
Last updated
09/22/2009
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