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Individual
MISS MARCHELLE DIANE LEE
Active
Individual
MISS MARCHELLE DIANE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
698549
TX
163WC0400X
Case Management Registered Nurse
698549
TX
163WH0200X
Home Health Registered Nurse
698549
TX
Other
Enumeration date
09/12/2014
Last updated
09/12/2014
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