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1518519024
MARLA RENEE WISE
STAFFORD, TX
NPI
1518519024
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 348133)
Enumeration Date
2019-07-15
Last Update Date
2019-07-15
Business Address
MARLA RENEE WISE LVN
12371 S KIRKWOOD RD
STAFFORD, TX 77477-2836
Phone number: 713-995-9292
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Mailing Address
MARLA RENEE WISE LVN
21126 ALLENHAM LN
HUMBLE, TX 77338-3000
Phone number:
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