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1083290217
STEPHANIE TIETZ
DICKINSON, TX
NPI
1083290217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1032760)
Enumeration Date
2021-03-18
Last Update Date
2021-03-18
Business Address
STEPHANIE TIETZ
3007 GARDENCREST LN
DICKINSON, TX 77539-4579
Phone number: 713-898-6445
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Mailing Address
STEPHANIE TIETZ
3007 GARDENCREST LN
DICKINSON, TX 77539-4579
Phone number: 713-898-6445
Copy
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