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Individual

MARI WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
8389 S BROADWAY AVE, TYLER, TX 75703-5408
(903) 606-8142
Mailing address
19860 VALLEY DALE LN, FLINT, TX 75762-6982
(903) 258-2473

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
899855
TX

Other

Enumeration date
08/29/2022
Last updated
08/29/2022
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