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1942570437
MELISSA PENA VIDAL
DALLAS, TX
NPI
1942570437
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 809325)
Enumeration Date
2011-12-30
Last Update Date
2012-10-31
Business Address
-- MELISSA PENA VIDAL CRNA
3909 SWISS AVE APT 203
DALLAS, TX 75204-6411
Phone number: 787-307-1422
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Mailing Address
-- MELISSA PENA VIDAL CRNA
3909 SWISS AVE BOX 463
DALLAS, TX 75204-6411
Phone number: 787-307-1422
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