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1538476387
THERESA JASSIM JACOB
KATY, TX
NPI
1538476387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: TX AP119331)
Enumeration Date
2010-08-31
Last Update Date
2018-01-31
Business Address
Mrs. THERESA JASSIM JACOB MSN, GNP
24275 KATY FWY STE 400
KATY, TX 77494-7267
Phone number: 346-387-7171
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Mailing Address
Mrs. THERESA JASSIM JACOB MSN, GNP
24275 KATY FWY STE 400
KATY, TX 77494-7267
Phone number: 346-387-7171
Copy
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