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1790336436
ARIEL ANASTASHIA MALONE
JEFFERSON, TX
NPI
1790336436
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 349080)
Enumeration Date
2019-09-24
Last Update Date
2019-09-24
Business Address
ARIEL ANASTASHIA MALONE
120 N WALNUT ST
JEFFERSON, TX 75657-1934
Phone number: 903-665-6131
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Mailing Address
ARIEL ANASTASHIA MALONE
PO BOX 901
JEFFERSON, TX 75657-0901
Phone number:
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