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1821201369
DIXIE FORTUNE
TYLER, TX
NPI
1821201369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC0400X Registered Nurse, Case Management
(Licence: TX 547354)
Enumeration Date
2007-05-08
Last Update Date
2007-07-08
Business Address
-- DIXIE FORTUNE RN, MA
214 E HOUSTON ST
TYLER, TX 75702-8131
Phone number: 903-535-9041
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Mailing Address
-- DIXIE FORTUNE RN, MA
7310 TIMBER CIR
TYLER, TX 75708-5820
Phone number:
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