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Individual

ANGELA EHLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CSFA

Contact information

Practice address
517 STONE CROSSING LN, FORT WORTH, TX 76140-7503
(817) 905-5514
Mailing address
517 STONE CROSSING LN, FORT WORTH, TX 76140-7503
(817) 905-5514

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
21071000
TX

Other

Enumeration date
05/14/2016
Last updated
05/14/2016
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