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Individual

JENNIFER ANNE OBORN-MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4950 US HIGHWAY 190 W, WOODVILLE, TX 75979-8924
(409) 200-5153
Mailing address
4950 US HIGHWAY 190 W, WOODVILLE, TX 75979-8924

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
220758
TX

Other

Enumeration date
02/19/2018
Last updated
02/19/2018
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