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1457195802
KRYSTAL RENE WIRTH
CORPUS CHRISTI, TX
NPI
1457195802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: TX 215475)
Enumeration Date
2024-06-20
Last Update Date
2024-06-20
Business Address
KRYSTAL RENE WIRTH Cota
2914 ISLANDER DR
CORPUS CHRISTI, TX 78418-4808
Phone number: 361-461-8146
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Mailing Address
KRYSTAL RENE WIRTH Cota
2914 ISLANDER DR
CORPUS CHRISTI, TX 78418-4808
Phone number:
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