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Individual
MYRANDA ESTES
Active
Individual
MYRANDA ESTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
220958
TX
Other
Enumeration date
02/15/2018
Last updated
02/16/2018
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