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1760960223
KINKISHA L TATUM
TYLER, TX
NPI
1760960223
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 341099)
Enumeration Date
2018-08-06
Last Update Date
2018-08-06
Business Address
KINKISHA L TATUM
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: 903-525-8001
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Mailing Address
KINKISHA L TATUM
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: 903-525-8001
Copy
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