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1134665078
LUKE RANGE
TYLER, TX
NPI
1134665078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP132787)
Enumeration Date
2017-01-17
Last Update Date
2017-01-17
Business Address
-- LUKE RANGE FNP
11937 US HIGHWAY 271
TYLER, TX 75708-3154
Phone number: 903-877-7777
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Mailing Address
-- LUKE RANGE FNP
PO BOX 731912
DALLAS, TX 75373-1912
Phone number: 903-877-7777
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