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1790322279
JILLIAN KELCIE MOODY
GRANBURY, TX
NPI
1790322279
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP143411)
Enumeration Date
2019-12-04
Last Update Date
2019-12-04
Business Address
JILLIAN KELCIE MOODY NP-C
805 HILL BLVD UNIT 103
GRANBURY, TX 76048-1482
Phone number: 817-573-3447
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Mailing Address
JILLIAN KELCIE MOODY NP-C
1029 ROADRUNNER RD
GLEN ROSE, TX 76043-6905
Phone number: 817-776-7477
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