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Individual

GRACE GESARE OSUTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2715 DEER CREEK DR APT 103, ARLINGTON, TX 76010-3321
(469) 278-0462
Mailing address
2715 DEER CREEK DR APT 103, ARLINGTON, TX 76010-3321
(469) 278-0462

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
351135
TX

Other

Enumeration date
02/06/2020
Last updated
02/06/2020
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