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1295220861
IDA M JEFFERS
AUSTIN, TX
NPI
1295220861
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Former Name
IDA M KENNARD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 84568)
Enumeration Date
2018-06-26
Last Update Date
2018-06-26
Business Address
IDA M JEFFERS LVN
6600 E BEN WHITE BLVD
AUSTIN, TX 78741-7537
Phone number: 512-445-7720
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Mailing Address
IDA M JEFFERS LVN
548 ARBORS CIR
ELGIN, TX 78621-5574
Phone number: 410-562-8238
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