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1306315130
SUSAN JACOB
DALLAS, TX
NPI
1306315130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX AP139784)
Enumeration Date
2018-11-22
Last Update Date
2023-05-02
Business Address
SUSAN JACOB NP
4645 SAMUELL BLVD
DALLAS, TX 75228-6826
Phone number: 214-743-1200
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Mailing Address
SUSAN JACOB NP
1345 RIVER BEND DR STE 200
DALLAS, TX 75247-6945
Phone number:
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