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1073893731
JEENA JACOB
DALLAS, TX
NPI
1073893731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX 720013)
Enumeration Date
2011-08-25
Last Update Date
2011-08-25
Business Address
Mrs. JEENA JACOB PNP
916 WYNNEWOOD SHP CTR
DALLAS, TX 75224-1833
Phone number: 214-941-7611
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Mailing Address
Mrs. JEENA JACOB PNP
2329 AMESBURY DR
MESQUITE, TX 75150-5805
Phone number: 214-405-0724
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