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1942701461
KELLY RENA TIRAS
STAFFORD, TX
NPI
1942701461
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 220268)
Enumeration Date
2018-02-21
Last Update Date
2018-02-21
Business Address
Ms. KELLY RENA TIRAS LVM
12371 S KIRKWOOD RD
STAFFORD, TX 77477-2836
Phone number: 713-995-9292
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Mailing Address
Ms. KELLY RENA TIRAS LVM
5091 AKUMAL CALLE
DICKINSON, TX 77539-4098
Phone number: 281-235-7992
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