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1639645112
KHADEJA ROSS
GRAND PRAIRIE, TX
NPI
1639645112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX f10181274)
Enumeration Date
2018-10-22
Last Update Date
2019-08-14
Business Address
KHADEJA ROSS
1032 VALLEY BROOK LN
GRAND PRAIRIE, TX 75052-8841
Phone number: 443-366-2683
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Mailing Address
KHADEJA ROSS
1032 VALLEY BROOK LN
GRAND PRAIRIE, TX 75052-8841
Phone number: 443-366-2683
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