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1699441808
TENISE NICOLE HORDGE
MANSFIELD, TX
NPI
1699441808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174N00000X Lactation Consultant, Non-RN
Enumeration Date
2021-08-18
Last Update Date
2021-08-18
Business Address
Mrs. TENISE NICOLE HORDGE
4602 SPRING LAKE PKWY # 220-330
MANSFIELD, TX 76063-5590
Phone number: 817-405-9661
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Mailing Address
Mrs. TENISE NICOLE HORDGE
3540 E BROAD ST # 220-330
MANSFIELD, TX 76063-5633
Phone number: 817-405-9661
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