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1891334462
LACI CHRISTINE VISE
FORT WORTH, TX
NPI
1891334462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 952952)
Enumeration Date
2019-12-31
Last Update Date
2019-12-31
Business Address
LACI CHRISTINE VISE
7821 LLANO AVE
FORT WORTH, TX 76116-1461
Phone number: 817-223-6644
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Mailing Address
LACI CHRISTINE VISE
7821 LLANO AVE
FORT WORTH, TX 76116-1461
Phone number: 817-223-6644
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