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1700501970
JACQUELINE I MBAABE
MANSFIELD, TX
NPI
1700501970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1091139)
Enumeration Date
2022-10-10
Last Update Date
2022-10-10
Business Address
JACQUELINE I MBAABE
111 MISTY MESA TRL
MANSFIELD, TX 76063-4815
Phone number: 682-221-5628
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Mailing Address
JACQUELINE I MBAABE
111 MISTY MESA TRL
MANSFIELD, TX 76063-4815
Phone number: 682-221-5628
Copy
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