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1184119737
THERESA ELLIS
TYLER, TX
NPI
1184119737
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 779060)
Enumeration Date
2018-06-26
Last Update Date
2018-06-26
Business Address
THERESA ELLIS
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: 903-592-8001
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Mailing Address
THERESA ELLIS
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number:
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