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1629654553
KATHY L GILLISPIE
FORT WORTH, TX
NPI
1629654553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TX 126387)
Enumeration Date
2021-03-22
Last Update Date
2021-03-22
Business Address
Mr. KATHY L GILLISPIE Lvn
1314 LAKE ST
FORT WORTH, TX 76102-4581
Phone number: 817-721-5918
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Mailing Address
Mr. KATHY L GILLISPIE Lvn
1314 LAKE ST
FORT WORTH, TX 76102-4581
Phone number: 817-721-5918
Copy
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