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Individual

JESSICA LYNN GEMINA MOHR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
600 N PARK ST, BRENHAM, TX 77833-2610
(979) 337-5800
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9114256
FL
363A00000X
Physician Assistant
Primary
PA15635
TX
363AM0700X
Medical Physician Assistant
9114256
FL
363AS0400X
Surgical Physician Assistant
9114256
FL

Other

Enumeration date
04/16/2021
Last updated
04/28/2022
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