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Individual

BETTY JO TROSETH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LVN, CSFA

Contact information

Practice address
1604 HOSPITAL PKWY, SUITE 505, BEDFORD, TX 76022-6986
(817) 267-2678
(817) 354-0854
Mailing address
2050 WILLOWOOD DR, GRAPEVINE, TX 76051-6075
(817) 416-2281

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
124437
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0275028
CIGNA
TX
01
CD6262
RAILROAD MEDICARE
TX
Enumeration date
10/11/2006
Last updated
07/08/2007
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