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1215230586
R KENT VANDERGRIFF
TYLER, TX
NPI
1215230586
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LC0200X Nurse Practitioner, Critical Care Medicine
(Licence: TX 631043)
Enumeration Date
2010-12-08
Last Update Date
2014-10-14
Business Address
-- R KENT VANDERGRIFF ACNP
800 E DAWSON ST
TYLER, TX 75701-2036
Phone number: 903-525-1914
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Mailing Address
-- R KENT VANDERGRIFF ACNP
PO BOX 841656
DALLAS, TX 75284-1656
Phone number: 903-531-5000
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