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1760569891
JACQUELINE B. BROADWAY
HOUSTON, TX
NPI
1760569891
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 675246)
Enumeration Date
2006-11-01
Last Update Date
2010-10-27
Business Address
-- JACQUELINE B. BROADWAY MSN, FNP
1515 HOLCOMBE BLVD
HOUSTON, TX 77030-4009
Phone number: 713-792-6161
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Mailing Address
-- JACQUELINE B. BROADWAY MSN, FNP
PO BOX 4439
HOUSTON, TX 77210-4439
Phone number: 713-792-2991
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