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1700122892
CARREN NYASUGUTA STRATFORD
FORT WORTH, TX
NPI
1700122892
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
347C00000X Private Vehicle
Additional Taxonomies
347C00000X Private Vehicle
Enumeration Date
2012-12-18
Last Update Date
2012-12-18
Business Address
-- CARREN NYASUGUTA STRATFORD lvn
3840 FOXHOUND LN
FORT WORTH, TX 76123-2589
Phone number: 817-501-1103
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Mailing Address
-- CARREN NYASUGUTA STRATFORD lvn
3840 FOXHOUND LN
FORT WORTH, TX 76123-2589
Phone number: 817-501-1103
Copy
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