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1114480639
ELLEN MATTHEWS
TYLER, TX
NPI
1114480639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 334607)
Enumeration Date
2019-04-11
Last Update Date
2019-04-11
Business Address
ELLEN MATTHEWS
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: 903-525-3763
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Mailing Address
ELLEN MATTHEWS
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: 903-525-3763
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