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1114401247
KORAH CROCKETT
MALAKOFF, TX
NPI
1114401247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 345233)
Enumeration Date
2018-09-25
Last Update Date
2018-09-25
Business Address
KORAH CROCKETT LVN
3801 STATE HIGHWAY 198 APT 127
MALAKOFF, TX 75148-4988
Phone number: 903-519-4663
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Mailing Address
KORAH CROCKETT LVN
3801 STATE HIGHWAY 198 APT 127
MALAKOFF, TX 75148-4988
Phone number: 903-519-4663
Copy
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