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Individual

MRS. VANESSA KAY MAGNESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.T.(R)

Contact information

Practice address
774 AIRWAY AVE, TYLER, TX 75704-7806
(903) 363-9583
(903) 363-9583
Mailing address
3872 STATE HIGHWAY 64 W # 243, TYLER, TX 75704-6924
(903) 363-9583
(903) 363-9583

Taxonomy

Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
19735
TX

Other

Enumeration date
06/12/2008
Last updated
02/02/2011
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