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1558513663
JAIS MATHEW JACOB
IRVING, TX
NPI
1558513663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 692194)
Enumeration Date
2008-10-21
Last Update Date
2014-01-22
Business Address
-- JAIS MATHEW JACOB MSN, RN, FNP-C
2300 VALLEY VIEW LN
IRVING, TX 75062-1721
Phone number: 972-812-1091
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Mailing Address
-- JAIS MATHEW JACOB MSN, RN, FNP-C
4018 CARRINGTON DR.
GARLAND, TX 75043
Phone number: 469-360-1164
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