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1861075749
REGINA TYRE
FORT WORTH, TX
NPI
1861075749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 702385)
Enumeration Date
2021-04-29
Last Update Date
2021-04-29
Business Address
REGINA TYRE RN
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-335-3022
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Mailing Address
REGINA TYRE RN
PO BOX 2603
FORT WORTH, TX 76113-2603
Phone number:
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