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Individual

GLENDA MARIE REDEEMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1101 S MAIN ST, STE 1206, FORT WORTH, TX 76104-4802
(817) 321-4710
(817) 321-5338
Mailing address
1101 S MAIN ST, STE 1206, FORT WORTH, TX 76104-4802
(817) 321-4710
(817) 321-5338

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
660833
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
170938801
TX
Enumeration date
07/15/2006
Last updated
10/10/2016
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