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1073150157
TRENEL SHUNDRAE JACKSON
DALLAS, TX
NPI
1073150157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP144273)
Enumeration Date
2019-12-08
Last Update Date
2020-08-04
Business Address
TRENEL SHUNDRAE JACKSON APRN, FNP-BC
4500 S LANCASTER RD
DALLAS, TX 75216-7167
Phone number: 940-882-3311
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Mailing Address
TRENEL SHUNDRAE JACKSON APRN, FNP-BC
4500 S LANCASTER RD
DALLAS, TX 75216-7167
Phone number: 940-882-3311
Copy
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