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1104438266
STEPHANI BOHANNON
TYLER, TX
NPI
1104438266
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 340516)
Enumeration Date
2020-08-20
Last Update Date
2020-08-20
Business Address
STEPHANI BOHANNON
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: 903-592-8001
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Mailing Address
STEPHANI BOHANNON
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number:
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