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1720648140
KATHERINE KELLE TILLMAN
FORT WORTH, TX
NPI
1720648140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WA2000X Registered Nurse Administrator
(Licence: TX AP129952)
Enumeration Date
2019-06-18
Last Update Date
2019-06-18
Business Address
KATHERINE KELLE TILLMAN APRN ACNS-BC
1717 S MAIN ST
FORT WORTH, TX 76110-1626
Phone number: 817-332-7722
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Mailing Address
KATHERINE KELLE TILLMAN APRN ACNS-BC
1308 CLAIBORNE LN
ALEDO, TX 76008-5803
Phone number: 817-223-5231
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