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1760689129
ERIC SHANE THOMPSON
TYLER, TX
NPI
1760689129
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WR0006X Registered Nurse, Registered Nurse First Assistant
(Licence: TX 660687)
Enumeration Date
2007-06-29
Last Update Date
2007-07-08
Business Address
-- ERIC SHANE THOMPSON
1000 S BECKHAM AVE
TYLER, TX 75701-1908
Phone number: 903-528-3605
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Mailing Address
-- ERIC SHANE THOMPSON
3753 WALNUT HILL DR
FLINT, TX 75762-6717
Phone number: 903-894-8622
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