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1184320111
GUILLA AEQUIELLE SANTOS JACOB
DALLAS, TX
NPI
1184320111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 1108869)
Enumeration Date
2023-02-01
Last Update Date
2024-11-07
Business Address
GUILLA AEQUIELLE SANTOS JACOB CRNA
6201 HARRY HINES BLVD
DALLAS, TX 75390-0001
Phone number: 214-645-8300
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Mailing Address
GUILLA AEQUIELLE SANTOS JACOB CRNA
9802 CHASEFIELD DR
ROCKWALL, TX 75087-8753
Phone number: 972-835-5242
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