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Individual

MRS. DENISE LYNN NASTROLIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPM, LM

Contact information

Practice address
2201 CRESTWOOD DR, TYLER, TX 75701-6006
(903) 566-6919
(903) 566-6919
Mailing address
2201 CRESTWOOD DR, TYLER, TX 75701-6006
(903) 566-6919
(903) 566-6919

Taxonomy

Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
05005
TX

Other

Enumeration date
12/31/2007
Last updated
12/31/2007
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