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1093361321
VONGRETSHUN SMITH-GROSS
TYLER, TX
NPI
1093361321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TN 196090)
Enumeration Date
2019-08-13
Last Update Date
2019-08-13
Business Address
VONGRETSHUN SMITH-GROSS
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: 903-525-3801
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Mailing Address
VONGRETSHUN SMITH-GROSS
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: 903-525-3801
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