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1003289935
CRYSTAL RENE ROSE
FORT WORTH, TX
NPI
1003289935
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Former Name
CRYSTAL RENE TRAHAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: TX AP128269)
Enumeration Date
2015-10-30
Last Update Date
2022-02-09
Business Address
CRYSTAL RENE ROSE CNM
7016 BRYANT IRVIN RD STE 100
FORT WORTH, TX 76132-4120
Phone number: 817-377-8820
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Mailing Address
CRYSTAL RENE ROSE CNM
7016 BRYANT IRVIN RD STE 100
FORT WORTH, TX 76132-4120
Phone number: 817-377-8820
Copy
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