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1912504176
BREANA JACKSON
BAYTOWN, TX
NPI
1912504176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1009642)
Enumeration Date
2020-10-01
Last Update Date
2024-03-26
Business Address
BREANA JACKSON
4949 BORUSAN RD
BAYTOWN, TX 77523-3700
Phone number: 281-918-0771
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Mailing Address
BREANA JACKSON
48 ROYAL ROSE DR
MANVEL, TX 77578-3377
Phone number: 832-651-7868
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