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1750957601
AMANDA J MARTIN
TYLER, TX
NPI
1750957601
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 174388)
Enumeration Date
2021-06-01
Last Update Date
2021-06-01
Business Address
AMANDA J MARTIN
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: 903-525-3714
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Mailing Address
AMANDA J MARTIN
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number:
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