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1386375665
GRACE SYOMBUA JEDIDAH
MANSFIELD, TX
NPI
1386375665
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1059626)
Enumeration Date
2022-06-18
Last Update Date
2022-06-18
Business Address
GRACE SYOMBUA JEDIDAH
1024 E BROAD ST STE 207
MANSFIELD, TX 76063-7702
Phone number: 682-518-3323
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Mailing Address
GRACE SYOMBUA JEDIDAH
1024 E BROAD ST STE 207
MANSFIELD, TX 76063-7702
Phone number: 682-518-3333
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