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Individual

ANDREE JARED MEDLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4941
(817) 702-3431
Mailing address
431 MELBA ST APT 1409, DALLAS, TX 75208-4726

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1046713
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11021318
FL

Other

Enumeration date
02/13/2022
Last updated
02/23/2023
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