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Individual

MANDY LYNN RENFRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
1097 N COUNTY ROAD 35810, ARTHUR CITY, TX 75411-2309
(903) 249-4110
Mailing address
1097 N COUNTY ROAD 35810, ARTHUR CITY, TX 75411-2309
(903) 249-4110

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
320268
TX

Other

Enumeration date
08/30/2018
Last updated
08/30/2018
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