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1073143327
JACQUELINE MILES
GRAND PRAIRIE, TX
NPI
1073143327
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: TX 874631)
Enumeration Date
2020-01-24
Last Update Date
2020-03-03
Business Address
JACQUELINE MILES FNP
5224 S STATE HIGHWAY 360 STE 230
GRAND PRAIRIE, TX 75052-0964
Phone number: 972-522-0691
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Mailing Address
JACQUELINE MILES FNP
5224 S STATE HIGHWAY 360
GRAND PRAIRIE, TX 75052-0950
Phone number: 972-552-0691
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