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1154019156
JUDY JOMON JACOB
DALLAS, TX
NPI
1154019156
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA17904)
Enumeration Date
2023-04-27
Last Update Date
2024-06-12
Business Address
JUDY JOMON JACOB PA
2959 S BUCKNER BLVD STE 700
DALLAS, TX 75227-6950
Phone number: 214-206-4974
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Mailing Address
JUDY JOMON JACOB PA
12377 MERIT DR STE 300
DALLAS, TX 75251-3126
Phone number: 972-957-3000
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