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1780821173
IVY ANTINERO TAYLOR
DALLAS, TX
NPI
1780821173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 669612)
Enumeration Date
2009-01-07
Last Update Date
2009-02-19
Business Address
-- IVY ANTINERO TAYLOR CRNA
3500 GASTON AVE
DALLAS, TX 75246-2017
Phone number: 214-820-2139
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Mailing Address
-- IVY ANTINERO TAYLOR CRNA
PO BOX 650426
DALLAS, TX 75265-0426
Phone number: 972-233-1999
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