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1265671598
KRISTIN L WILEY
FORT WORTH, TX
NPI
1265671598
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 670259)
Enumeration Date
2009-02-10
Last Update Date
2017-03-06
Business Address
-- KRISTIN L WILEY CRNA
801 7TH AVE
FORT WORTH, TX 76104-2733
Phone number: 682-885-4054
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Mailing Address
-- KRISTIN L WILEY CRNA
PO BOX 99371
FORT WORTH, TX 76199-0371
Phone number: 682-885-1855
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