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MARIE LATIOLAIS OSTHEIMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2901 N 4TH ST, LONGVIEW, TX 75605-5128
(903) 758-1818
Mailing address
2901 N 4TH ST, LONGVIEW, TX 75605-5128
(903) 758-1818

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
TEMP
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201365801
TX
Enumeration date
02/01/2009
Last updated
06/23/2009
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