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1811961519
JOLLY THOMAS
DALLAS, TX
NPI
1811961519
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: TX 593284)
Enumeration Date
2006-02-17
Last Update Date
2012-12-03
Business Address
-- JOLLY THOMAS ANP
1936 AMELIA CT GERIATRIC CENTER & SENIOR SERVICES
DALLAS, TX 75235-7706
Phone number: 214-590-8369
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Mailing Address
-- JOLLY THOMAS ANP
PO BOX 660599
DALLAS, TX 75266-0599
Phone number:
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