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Individual

JA'KEYAH STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
119 S FLEISHEL AVE, TYLER, TX 75702-7558
(903) 240-5682
Mailing address
119 S FLEISHEL AVE, TYLER, TX 75702-7558
(903) 240-5682

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
962774
TX

Other

Enumeration date
09/16/2020
Last updated
09/16/2020
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