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1710450457
TANDREA JACKSON
LUBBOCK, TX
NPI
1710450457
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP139797)
Enumeration Date
2019-01-04
Last Update Date
2019-01-04
Business Address
TANDREA JACKSON FNP
8612 UTICA AVE
LUBBOCK, TX 79424-4025
Phone number: 806-283-8156
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Mailing Address
TANDREA JACKSON FNP
8612 UTICA AVE
LUBBOCK, TX 79424-4025
Phone number:
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