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1861653099
TRISH LATONYA JACKSON
IRVING, TX
NPI
1861653099
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: TX 669841)
Enumeration Date
2008-06-20
Last Update Date
2008-11-07
Business Address
-- TRISH LATONYA JACKSON WHNP-BC
1800 N BRITAIN RD
IRVING, TX 75061-2630
Phone number: 214-266-3221
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Mailing Address
-- TRISH LATONYA JACKSON WHNP-BC
5201 HARRY HINES BLVD
DALLAS, TX 75235-7708
Phone number: 214-266-3221
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