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1164571212
EDYTHE ANN WOODALL
TYLER, TX
NPI
1164571212
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 565601)
Enumeration Date
2007-01-09
Last Update Date
2007-07-08
Business Address
-- EDYTHE ANN WOODALL CRNA
1000 S BECKHAM AVE
TYLER, TX 75701-1908
Phone number: 903-526-1068
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Mailing Address
-- EDYTHE ANN WOODALL CRNA
PO BOX 8027
TYLER, TX 75711-8027
Phone number: 903-526-1068
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