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1730626151
KIANTE THOMAS
TYLER, TX
NPI
1730626151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: TX 28007345)
Enumeration Date
2017-01-23
Last Update Date
2017-01-23
Business Address
-- KIANTE THOMAS
2136 FM 757
TYLER, TX 75705-4520
Phone number: 903-590-9511
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Mailing Address
-- KIANTE THOMAS
11205 TIMBER CREEK DR
TYLER, TX 75707-5353
Phone number: 903-363-7032
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