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1225194764
GRACY JILSON
DALLAS, TX
NPI
1225194764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: TX 578383)
Enumeration Date
2006-12-29
Last Update Date
2009-04-22
Business Address
-- GRACY JILSON WHCNP
5201 HARRY HINES BLVD WISH TUBAL CLINIC
DALLAS, TX 75235-7708
Phone number: 214-590-5306
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Mailing Address
-- GRACY JILSON WHCNP
PO BOX 660599
DALLAS, TX 75266-0599
Phone number:
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