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Christina Wilder

NPI Registration Record

Provider / OrganizationNPIDate Certified
CHRISTINA WILDER11640203502020-10-11
Entity TypeIndividual
Provider Name Christina Wilder FNP-BC
Practice Office Address821 ALLEN STREET APT 424
DALLAS, TX US
Practice Office Telephone8166513939
Mailing Address821 ALLEN STREET APT 424
DALLAS, TX 75204 US
Business Telephone8166513939
HPT Codes
CodeLicense NoState
363LF0000X PRIMARY1012943 TX
OPI Codes

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