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1992043517
MARY JESSICA FIESTA
DALLAS, TX
NPI
1992043517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: TX 721121)
Enumeration Date
2013-01-17
Last Update Date
2020-03-20
Business Address
MARY JESSICA FIESTA ANP-BC
6301 GASTON AVE SUITE 100 WEST TOWER
DALLAS, TX 75214-3922
Phone number: 214-827-3610
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Mailing Address
MARY JESSICA FIESTA ANP-BC
906 W CANNON ST STE A
FORT WORTH, TX 76104-3031
Phone number: 817-321-0951
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