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1699047852
JASON KELLY MARQUART
FORT SAM HOUSTON, TX
NPI
1699047852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX 810728)
Enumeration Date
2012-02-03
Last Update Date
2012-02-03
Business Address
-- JASON KELLY MARQUART ACNP-BC
3851 ROGER BROOKE DRIVE MCHE-QD (CREDS)
FORT SAM HOUSTON, TX 78234-6200
Phone number: 210-916-3390
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Mailing Address
-- JASON KELLY MARQUART ACNP-BC
BAMC-3851 ROGER BROOKE DRIVE MCHE-QD (CREDS)
FORT SAM HOUSTON, TX 78234-6200
Phone number: 210-916-3390
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