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1689176885
TIA ROCHE IVORY
KILGORE, TX
NPI
1689176885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP136828)
Enumeration Date
2018-03-03
Last Update Date
2023-05-08
Business Address
Ms. TIA ROCHE IVORY FNP-C
2019A S HENDERSON BLVD STE 2
KILGORE, TX 75662-3567
Phone number: 903-483-7707
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Mailing Address
Ms. TIA ROCHE IVORY FNP-C
2019A SOUTH HENDERSON BLVD, SUITE 2
KILGORE, TX 75662-3915
Phone number: 903-483-7707
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