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1871242925
JISHA MARY JOSE
KINGWOOD, TX
NPI
1871242925
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 1034498)
Enumeration Date
2022-03-23
Last Update Date
2022-04-27
Business Address
JISHA MARY JOSE
2627 CHESTNUT RIDGE DR STE 100
KINGWOOD, TX 77339-1777
Phone number: 281-358-1950
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Mailing Address
JISHA MARY JOSE
2627 CHESTNUT RIDGE DR STE 100
KINGWOOD, TX 77339-1777
Phone number: 281-358-1950
Copy
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