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Individual

BETTY MARIE HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
501 HIGHLAND DR APT 631, LEWISVILLE, TX 75067-4102
(405) 314-5813
Mailing address
501 HIGHLAND DR APT 631, LEWISVILLE, TX 75067-4102
(405) 314-5813

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
47574
OK

Other

Enumeration date
04/01/2020
Last updated
04/01/2020
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