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1073863023
MARIAMMA M JACOB
PLANO, TX
NPI
1073863023
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Former Name
MARIAMMA M THOMAS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX 557515)
Enumeration Date
2012-09-18
Last Update Date
2012-09-18
Business Address
-- MARIAMMA M JACOB CPNP
7800 PRESTON RD STE 300
PLANO, TX 75024-3236
Phone number: 972-608-3800
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Mailing Address
-- MARIAMMA M JACOB CPNP
7800 PRESTON RD STE 300
PLANO, TX 75024-3236
Phone number: 972-608-3800
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