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Individual

KIJANA CRISWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 606-8441
Mailing address
717 PINEWOOD ST, DIBOLL, TX 75941-2213

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1040835
TX

Other

Enumeration date
05/12/2026
Last updated
05/12/2026
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