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1659853166
MISTIE EDDIE
SAN ANTONIO, TX
NPI
1659853166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 219531)
Enumeration Date
2018-08-30
Last Update Date
2018-08-30
Business Address
MISTIE EDDIE
8700 CROWNHILL BLVD STE 300
SAN ANTONIO, TX 78209-1128
Phone number: 210-824-5530
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Mailing Address
MISTIE EDDIE
4630 BERNADINE DR
SAN ANTONIO, TX 78220-4747
Phone number: 210-560-9842
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