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1922509058
CRYSTAL MIRELES
GRAND PRAIRIE, TX
NPI
1922509058
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TX 332701)
Enumeration Date
2018-02-23
Last Update Date
2018-02-23
Business Address
CRYSTAL MIRELES LVN
3111 PARHAM DR APT 151
GRAND PRAIRIE, TX 75052-8226
Phone number: 682-232-5329
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Mailing Address
CRYSTAL MIRELES LVN
3111 PARHAM DR
GRAND PRAIRIE, TX 75052-8239
Phone number:
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