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1023008265
VIDA RISTON SPROTT
BEAUMONT, TX
NPI
1023008265
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 540793)
Enumeration Date
2005-10-27
Last Update Date
2019-10-29
Business Address
VIDA RISTON SPROTT APRN, CNM, FNP
2965 HARRISON ST STE 313
BEAUMONT, TX 77702-1113
Phone number: 409-838-4472
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Mailing Address
VIDA RISTON SPROTT APRN, CNM, FNP
2627 CALDER ST
BEAUMONT, TX 77702-1916
Phone number: 409-838-4472
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