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1407575863
KARON KISSENTANER
FORT WORTH, TX
NPI
1407575863
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 178845)
Enumeration Date
2022-08-26
Last Update Date
2022-08-26
Business Address
KARON KISSENTANER
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-569-4101
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Mailing Address
KARON KISSENTANER
PO BOX 2603
FORT WORTH, TX 76113-2603
Phone number:
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