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1366918328
LACIE HARRIS
TYLER, TX
NPI
1366918328
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1041228)
Enumeration Date
2018-10-17
Last Update Date
2022-07-21
Business Address
LACIE HARRIS
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: 903-592-8001
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Mailing Address
LACIE HARRIS
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: 903-592-8001
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