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1417705443
HALIE MICHELE TACKITT
FORT WORTH, TX
NPI
1417705443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 901249)
Enumeration Date
2024-05-06
Last Update Date
2024-06-21
Business Address
HALIE MICHELE TACKITT CRNA
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 972-213-5923
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Mailing Address
HALIE MICHELE TACKITT CRNA
4061 BLACKCHAMP RD
MIDLOTHIAN, TX 76065-5748
Phone number: 972-213-5923
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