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1275216624
SUBY J. JACOB
DALLAS, TX
NPI
1275216624
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX 1118045)
Enumeration Date
2023-08-11
Last Update Date
2024-01-08
Business Address
SUBY J. JACOB APRN
5323 HARRY HINES BLVD
DALLAS, TX 75390-7201
Phone number: 801-654-1645
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Mailing Address
SUBY J. JACOB APRN
PO BOX 845347
DALLAS, TX 75284-5347
Phone number:
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