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Individual

MRS. JUSTINE ELENA LEGRAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPM, LM

Contact information

Practice address
10345 ALTA VISTA RD, FORT WORTH, TX 76244-6501
(817) 562-2828
(817) 768-6940
Mailing address
8413 SPRINGHILL CT, NORTH RICHLAND HILLS, TX 76182-6134
(817) 994-7135
(817) 768-6940

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99342
TX

Other

Enumeration date
07/05/2018
Last updated
07/05/2018
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