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JENNIFER LYNN POMALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
704 RIVERHEAD DR, WYLIE, TX 75098-8735
(214) 641-5787
Mailing address
704 RIVERHEAD DR, WYLIE, TX 75098-8735
(214) 641-5787

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05874
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
197786001
TX
05
197786002
TX
05
197786003
TX
Enumeration date
08/26/2008
Last updated
01/08/2010
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