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1215549563
TINA RENEE KETTER
DESOTO, TX
NPI
1215549563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 338389)
Enumeration Date
2020-08-18
Last Update Date
2020-08-18
Business Address
TINA RENEE KETTER
1019 BLUFFVIEW DR
DESOTO, TX 75115-3525
Phone number: 214-779-3463
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Mailing Address
TINA RENEE KETTER
1019 BLUFFVIEW DR
DESOTO, TX 75115-3525
Phone number: 214-779-3463
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