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1366129934
JEEVANTHA NANAYAKKARA
AUSTIN, TX
NPI
1366129934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1026821)
Enumeration Date
2023-07-05
Last Update Date
2024-04-15
Business Address
JEEVANTHA NANAYAKKARA FNP -BC
12129 RR 620 N STE 610
AUSTIN, TX 78750-1086
Phone number: 512-900-7800
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Mailing Address
JEEVANTHA NANAYAKKARA FNP -BC
12129 RR 620 N STE 610
AUSTIN, TX 78750-1086
Phone number: 512-900-7800
Copy
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