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Individual
GLADYS C TELLO
Active
Individual
GLADYS C TELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
518345
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126015007
—
TX
01
—
8Y3688
BCBSTX
TX
Enumeration date
07/04/2006
Last updated
07/28/2008
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