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1962047985
TANISHA MCCLURE
IRVING, TX
NPI
1962047985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 320613)
Enumeration Date
2019-11-13
Last Update Date
2019-11-13
Business Address
TANISHA MCCLURE LVN
1711 WALDROP ST
IRVING, TX 75061-2836
Phone number: 469-428-3078
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Mailing Address
TANISHA MCCLURE LVN
1711 WALDROP ST
IRVING, TX 75061-2836
Phone number: 469-428-3078
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