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1275012783
TINA R PREVOST
TYLER, TX
NPI
1275012783
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 860270)
Enumeration Date
2018-08-07
Last Update Date
2018-08-07
Business Address
TINA R PREVOST
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: 903-525-8001
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Mailing Address
TINA R PREVOST
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: 903-525-8001
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