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1336747963
THOMAS LILES
FORT WORTH, TX
NPI
1336747963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TX AP137858)
Enumeration Date
2020-10-15
Last Update Date
2020-10-15
Business Address
THOMAS LILES NP
4 CARLSON CT
FORT WORTH, TX 76119-5901
Phone number: 202-532-3778
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Mailing Address
THOMAS LILES NP
CWCU 4 CARLSON CT
FORT WORTH, TX 76119
Phone number: 202-532-3778
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