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JORGE ADRIAN MANCILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
2400 TRAWOOD DR, EL PASO, TX 79936-4168
(915) 599-6735
Mailing address
201 E MAIN DR STE 600, EL PASO, TX 79901-1385
(915) 887-3410

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1072619
TX

Other

Enumeration date
03/10/2022
Last updated
03/10/2022
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