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1205171097
JA-RENDA ANNISE WATSON
IRVING, TX
NPI
1205171097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: TX 834164)
Enumeration Date
2012-12-05
Last Update Date
2022-10-03
Business Address
Mrs. JA-RENDA ANNISE WATSON ANP-BC
6363 N STATE HIGHWAY 161 STE 100
IRVING, TX 75038-2239
Phone number: 469-200-3272
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Mailing Address
Mrs. JA-RENDA ANNISE WATSON ANP-BC
2801 GATEWAY DR STE 100
IRVING, TX 75063-2694
Phone number: 844-388-6541
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