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1396009015
HEIDI M MANSY
LAKE JACKSON, TX
NPI
1396009015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 654373)
Enumeration Date
2012-06-27
Last Update Date
2013-06-25
Business Address
-- HEIDI M MANSY NP
100 MEDICAL DR
LAKE JACKSON, TX 77566-5674
Phone number: 979-297-4411
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Mailing Address
-- HEIDI M MANSY NP
1717 MAIN ST STE 5200
DALLAS, TX 75201-4612
Phone number: 214-712-2000
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