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JANUARY BANAAG JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1645 N TOWN EAST BLVD, SUITE 174, MESQUITE, TX 75150-4158
(972) 270-5549
(972) 270-5558
Mailing address
1645 N TOWN EAST BLVD, SUITE 174, MESQUITE, TX 75150-4158
(972) 270-5549
(972) 270-5558

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA05962
TX

Other

Enumeration date
09/26/2008
Last updated
12/28/2008
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