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1811511132
JAQUAILA SHEPARD
LONGVIEW, TX
NPI
1811511132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 855374)
Enumeration Date
2020-06-02
Last Update Date
2020-06-02
Business Address
Ms. JAQUAILA SHEPARD RN
414 E LOOP 281
LONGVIEW, TX 75605-7930
Phone number: 903-445-1917
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Mailing Address
Ms. JAQUAILA SHEPARD RN
1601 CLEARWOOD DR
LONGVIEW, TX 75604-4412
Phone number:
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