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1417512781
JEEVAN THAMBAN
TEMPLE, TX
NPI
1417512781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: TX AP141333)
Enumeration Date
2019-05-02
Last Update Date
2019-05-02
Business Address
JEEVAN THAMBAN
1901 VETERANS MEMORIAL DR
TEMPLE, TX 76504-7451
Phone number: 254-778-4811
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Mailing Address
JEEVAN THAMBAN
14402 W BELLFORT ST APT 1135
SUGAR LAND, TX 77498-1834
Phone number: 254-495-0241
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