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1336169002
JAMIE K MODRALL
MESQUITE, TX
NPI
1336169002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 650239)
Enumeration Date
2006-07-19
Last Update Date
2012-11-07
Business Address
-- JAMIE K MODRALL FNP
18601 LYNDON B JOHNSON FWY STE 315
MESQUITE, TX 75150-5612
Phone number: 972-686-1795
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Mailing Address
-- JAMIE K MODRALL FNP
18601 LYNDON B JOHNSON FWY STE 315
MESQUITE, TX 75150-5612
Phone number: 972-686-1795
Copy
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