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1225205677
LELON DARWIN TIDWELL
BURLESON, TX
NPI
1225205677
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WR0006X Registered Nurse, Registered Nurse First Assistant
(Licence: TX 436290)
Enumeration Date
2008-05-14
Last Update Date
2008-05-14
Business Address
-- LELON DARWIN TIDWELL RNFA
11801 SOUTH FWY
BURLESON, TX 76028-7021
Phone number: 817-293-9110
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Mailing Address
-- LELON DARWIN TIDWELL RNFA
PO BOX 11219
FORT WORTH, TX 76110-0219
Phone number: 817-294-7444
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