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1912624156
ILEY MAE MENDEZ
IRVING, TX
NPI
1912624156
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: TX 1096845)
Enumeration Date
2022-10-27
Last Update Date
2022-10-27
Business Address
ILEY MAE MENDEZ APRN
1925 W JOHN CARPENTER FWY
IRVING, TX 75063-3222
Phone number: 972-292-7158
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Mailing Address
ILEY MAE MENDEZ APRN
315 S CESAR CHAVEZ BLVD APT 934
DALLAS, TX 75201-5822
Phone number: 405-694-0911
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