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1669087995
EDLISA HARRIS
FORT WORTH, TX
NPI
1669087995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 350925)
Enumeration Date
2020-09-14
Last Update Date
2020-09-14
Business Address
EDLISA HARRIS LVN
4500 BRENTWOOD STAIR RD APT 1131
FORT WORTH, TX 76103-1621
Phone number: 469-855-1519
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Mailing Address
EDLISA HARRIS LVN
4500 BRENTWOOD STAIR RD APT 1131
FORT WORTH, TX 76103-1621
Phone number: 469-855-1519
Copy
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