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1265934921
SANDRA D TIBBITS
SAN ANTONIO, TX
NPI
1265934921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 303107)
Enumeration Date
2018-03-08
Last Update Date
2018-03-08
Business Address
SANDRA D TIBBITS
3201 CHERRY RIDGE ST STE D400
SAN ANTONIO, TX 78230-4820
Phone number: 210-692-0222
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Mailing Address
SANDRA D TIBBITS
12415 VALLE DEZAVALA
SAN ANTONIO, TX 78249-2138
Phone number: 210-309-5047
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