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1700660693
JASON MENDOZA
ODESSA, TX
NPI
1700660693
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX 1132860)
Enumeration Date
2023-08-22
Last Update Date
2023-09-09
Business Address
JASON MENDOZA
520 E 6TH ST
ODESSA, TX 79761-4527
Phone number: 432-582-8000
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Mailing Address
JASON MENDOZA
804 LOCHRIDGE
AMARILLO, TX 79118-1401
Phone number: 806-336-0464
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