DELANA DENEISE STATEN

TYLER, TX
NPI1225181514
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: TX  36565)
Enumeration Date2007-01-19
Last Update Date2007-07-08
Business Address
-- DELANA DENEISE STATEN rph
13321 FM 206 HWY 31 W
TYLER, TX 75709
Phone number: 903-592-3487
Mailing Address
-- DELANA DENEISE STATEN rph
13624 SPUR 364
TYLER, TX 75709-5135
Phone number: 903-593-0854
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