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1275048118
JACQUELYN RENNEBERG
SHENANDOAH, TX
NPI
1275048118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: TX AP136074)
Enumeration Date
2017-12-13
Last Update Date
2018-04-17
Business Address
JACQUELYN RENNEBERG APRN
17201 I H 45 S
SHENANDOAH, TX 77385-3311
Phone number: 936-270-2099
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Mailing Address
JACQUELYN RENNEBERG APRN
17201 I H 45 S
SHENANDOAH, TX 77385-3311
Phone number: 936-270-2099
Copy
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