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1073155719
JESSICA DINE
WACO, TX
NPI
1073155719
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Former Name
JESSICA BEVERLY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP143513)
Enumeration Date
2019-10-15
Last Update Date
2023-02-14
Business Address
JESSICA DINE APRN, FNP-BC
7104 NEW SANGER AVE
WACO, TX 76712-3928
Phone number: 254-262-3188
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Mailing Address
JESSICA DINE APRN, FNP-BC
7104 NEW SANGER AVE
WACO, TX 76712-3928
Phone number: 254-262-3188
Copy
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