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1497243877
MANNAH JOHN SIAFA
GRAND PRAIRIE, TX
NPI
1497243877
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 917407)
Enumeration Date
2018-05-01
Last Update Date
2018-05-01
Business Address
MANNAH JOHN SIAFA RN
6847 MOLINA
GRAND PRAIRIE, TX 75054-0086
Phone number: 682-407-6168
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Mailing Address
MANNAH JOHN SIAFA RN
6847 MOLINA
GRAND PRAIRIE, TX 75054-0086
Phone number:
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