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1801417159
MARYLISA FANNING
TEMPLE, TX
NPI
1801417159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 728543)
Enumeration Date
2020-04-28
Last Update Date
2020-04-28
Business Address
MARYLISA FANNING
1615 NEUBERRY CLIFFE
TEMPLE, TX 76502-5483
Phone number: 214-587-8868
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Mailing Address
MARYLISA FANNING
1615 NEUBERRY CLIFFE
TEMPLE, TX 76502-5483
Phone number: 214-587-8868
Copy
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