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1275108698
FAREESHA JIWANI
PORT ARTHUR, TX
NPI
1275108698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA14598)
Enumeration Date
2021-05-26
Last Update Date
2021-05-26
Business Address
FAREESHA JIWANI PA
2555 JIMMY JOHNSON BLVD
PORT ARTHUR, TX 77640-2007
Phone number: 409-724-7389
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Mailing Address
FAREESHA JIWANI PA
1603 MEADOWSWEET DR
SUGAR LAND, TX 77479-4082
Phone number: 832-744-3737
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