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1720721590
JENNIFER LICON
AMARILLO, TX
NPI
1720721590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP1071121)
Enumeration Date
2022-04-19
Last Update Date
2022-04-19
Business Address
JENNIFER LICON FNP-C
2701 S GEORGIA ST
AMARILLO, TX 79109-1979
Phone number: 806-350-3000
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Mailing Address
JENNIFER LICON FNP-C
2501 LAKEVIEW DR
AMARILLO, TX 79109-1531
Phone number: 806-355-8900
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