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1346743804
CRYSTAL JOANN LIESEKE
CORPUS CHRISTI, TX
NPI
1346743804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 165544)
Enumeration Date
2018-03-12
Last Update Date
2018-03-12
Business Address
CRYSTAL JOANN LIESEKE
10628 HEIZER DR
CORPUS CHRISTI, TX 78410-2325
Phone number: 509-413-8858
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Mailing Address
CRYSTAL JOANN LIESEKE
10628 HEIZER DR
CORPUS CHRISTI, TX 78410-2325
Phone number: 509-413-8858
Copy
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