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1982940466
JORDAN LASHEA MAYBERRY
DALLAS, TX
NPI
1982940466
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA08183)
Enumeration Date
2013-01-02
Last Update Date
2019-05-09
Business Address
JORDAN LASHEA MAYBERRY PA
5200 HARRY HINES BLVD
DALLAS, TX 75235-7709
Phone number: 214-645-4656
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Mailing Address
JORDAN LASHEA MAYBERRY PA
PO BOX 845347
DALLAS, TX 75284-7208
Phone number: 214-590-4656
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