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1477198935
TRISTAN BAILEY HARGRAVES
BEAUMONT, TX
NPI
1477198935
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP143944)
Enumeration Date
2019-11-08
Last Update Date
2019-11-08
Business Address
TRISTAN BAILEY HARGRAVES
755 N 11TH ST STE P2200
BEAUMONT, TX 77702-1513
Phone number: 409-892-1192
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Mailing Address
TRISTAN BAILEY HARGRAVES
755 N 11TH ST STE P2200
BEAUMONT, TX 77702-1513
Phone number: 409-892-1192
Copy
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