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1134713555
CODY LAWRENCE CRISMAN
VICTORIA, TX
NPI
1134713555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX 1030954)
Enumeration Date
2021-02-25
Last Update Date
2021-02-25
Business Address
Mr. CODY LAWRENCE CRISMAN AGACNP-BC
605 E SAN ANTONIO ST STE 430E
VICTORIA, TX 77901-6007
Phone number: 361-576-0011
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Mailing Address
Mr. CODY LAWRENCE CRISMAN AGACNP-BC
501 BLYTH RD
VICTORIA, TX 77904-2823
Phone number: 361-208-5781
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