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1083460216
SMITHA BIJU JOHN
LAKE JACKSON, TX
NPI
1083460216
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1156727)
Enumeration Date
2024-04-29
Last Update Date
2024-04-29
Business Address
SMITHA BIJU JOHN PMHNP
201 OAK DR S STE 102
LAKE JACKSON, TX 77566-5626
Phone number: 979-529-9050
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Mailing Address
SMITHA BIJU JOHN PMHNP
63 EMBER BRANCH DR
MISSOURI CITY, TX 77459-1107
Phone number: 864-208-6320
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