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Individual

CHARI LYNNETT DANIELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
1301 E 4TH AVE, CORSICANA, TX 75110-4758
(903) 875-5215
Mailing address
1301 E 4TH AVE, CORSICANA, TX 75110-4758
(903) 875-5215

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
344609
TX

Other

Enumeration date
10/03/2018
Last updated
10/03/2018
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