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1700515368
JACKIE JUDITH NATIVIDAD
EL PASO, TX
NPI
1700515368
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1083737)
Enumeration Date
2022-06-08
Last Update Date
2023-01-25
Business Address
JACKIE JUDITH NATIVIDAD APRN, FNP-BC
8045 N LOOP DR STE A
EL PASO, TX 79915-3227
Phone number: 915-248-1793
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Mailing Address
JACKIE JUDITH NATIVIDAD APRN, FNP-BC
6385 CALLE AZUL WAY
EL PASO, TX 79912-7524
Phone number: 915-258-7874
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