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1336985191
ALEXIS LACHE UPSHAW
FORT WORTH, TX
NPI
1336985191
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 1009009)
Enumeration Date
2024-07-02
Last Update Date
2024-07-02
Business Address
ALEXIS LACHE UPSHAW
4801 BRENTWOOD STAIR RD STE 404
FORT WORTH, TX 76103-1731
Phone number: 817-492-9383
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Mailing Address
ALEXIS LACHE UPSHAW
4801 BRENTWOOD STAIR RD STE 404
FORT WORTH, TX 76103-1731
Phone number: 817-492-9383
Copy
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