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1588053409
JOHNATAN MARIANO
DESOTO, TX
NPI
1588053409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: TX AP126703)
Enumeration Date
2015-01-15
Last Update Date
2022-01-04
Business Address
JOHNATAN MARIANO ANP
1001 ROBBIE MINCE WAY
DESOTO, TX 75115-2012
Phone number: 972-709-7190
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Mailing Address
JOHNATAN MARIANO ANP
8479 DAVIS BLVD STE 100
NORTH RICHLAND HILLS, TX 76182-8604
Phone number: 817-953-8450
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