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1073170668
JENNIFER MCCORMACK
DESOTO, TX
NPI
1073170668
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP141637)
Enumeration Date
2019-05-20
Last Update Date
2019-05-20
Business Address
JENNIFER MCCORMACK APRN
2715 BOLTON BOONE DR STE B
DESOTO, TX 75115-2079
Phone number: 972-780-8009
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Mailing Address
JENNIFER MCCORMACK APRN
2715 BOLTON BOONE DR STE B
DESOTO, TX 75115-2079
Phone number: 972-780-8009
Copy
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