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Individual

MS. EVELENA GENTRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
EVELENA GENTRY, 830 TRINITY LANE, DALLAS, TX 75241-4530
(870) 718-4390
Mailing address
EVELENA GENTRY, 830 TRINITY LANE, DALLAS, TX 75241-4530
(870) 718-4390

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L46754
AR

Other

Enumeration date
08/03/2018
Last updated
08/03/2018
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