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1083197065
LANNA WAITHE
TYLER, TX
NPI
1083197065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-09-14
Last Update Date
2018-09-14
Business Address
LANNA WAITHE
3900 UNIVERSITY BLVD
TYLER, TX 75799-6600
Phone number: 903-565-5777
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Mailing Address
LANNA WAITHE
3603 TEXAS DR
SACHSE, TX 75048-1906
Phone number:
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