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1538796057
JESSIE BATHAN
FORT WORTH, TX
NPI
1538796057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: TX 615680)
Enumeration Date
2020-03-25
Last Update Date
2020-03-25
Business Address
JESSIE BATHAN RN
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2122
Phone number: 817-250-2330
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Mailing Address
JESSIE BATHAN RN
7012 FLAMENCIA
GRAND PRAIRIE, TX 75054-5560
Phone number: 817-714-6327
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