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1194599613
JACKLYNN EVERETT VIDAURRI
LAREDO, TX
NPI
1194599613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1141665)
Enumeration Date
2023-11-14
Last Update Date
2023-11-15
Business Address
JACKLYNN EVERETT VIDAURRI APRN, FNP-BC
1519 E BUSTAMANTE ST STE B
LAREDO, TX 78041-5305
Phone number: 956-568-3009
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Mailing Address
JACKLYNN EVERETT VIDAURRI APRN, FNP-BC
2702 BRAIDS DR
LAREDO, TX 78045-8890
Phone number: 956-231-4179
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