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1316196827
JASON GRAHAM DEXTER
SAN ANGELO, TX
NPI
1316196827
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 696743)
Enumeration Date
2008-09-09
Last Update Date
2011-03-03
Business Address
Mr. JASON GRAHAM DEXTER NP
120 E HARRIS AVE
SAN ANGELO, TX 76903-5904
Phone number: 325-657-5222
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Mailing Address
Mr. JASON GRAHAM DEXTER NP
1702 EVELYN ST
SAN ANGELO, TX 76905-8154
Phone number: 325-651-8148
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