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1033698402
EVANGELINA BAUSTISTA
FORT WORTH, TX
NPI
1033698402
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 119696)
Enumeration Date
2018-08-07
Last Update Date
2018-08-07
Business Address
EVANGELINA BAUSTISTA
1314 LAKE ST
FORT WORTH, TX 76102-4581
Phone number: 903-532-1400
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Mailing Address
EVANGELINA BAUSTISTA
824 WHITE ROCK ST
SAGINAW, TX 76179-3430
Phone number:
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