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1194436790
MARY CRADDOCK
TYLER, TX
NPI
1194436790
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TX 165013)
Enumeration Date
2022-12-06
Last Update Date
2022-12-06
Business Address
MARY CRADDOCK
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: 903-525-3995
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Mailing Address
MARY CRADDOCK
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: 903-525-3995
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