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1053530386
KRYSTAL CASTLE
TYLER, TX
NPI
1053530386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: TX M8577)
Enumeration Date
2007-04-25
Last Update Date
2016-03-15
Business Address
KRYSTAL CASTLE DO
305 W RUSK ST
TYLER, TX 75701-1514
Phone number: 903-592-7304
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Mailing Address
KRYSTAL CASTLE DO
PO BOX 846098
DALLAS, TX 75284-6098
Phone number: 903-324-6450
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