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1942808522
IVIE MASSIE
TYLER, TX
NPI
1942808522
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 1013217)
Enumeration Date
2020-10-15
Last Update Date
2020-10-15
Business Address
IVIE MASSIE LVN
7101 WALJIM ST APT 101
TYLER, TX 75703-4904
Phone number: 936-225-9954
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Mailing Address
IVIE MASSIE LVN
7101 WALJIM ST APT 101
TYLER, TX 75703-4904
Phone number: 936-225-9954
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