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Individual

JESSICA KOLB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
301 CORONADO DR APT 1019, DENTON, TX 76209-0972
(810) 516-7940
Mailing address
301 CORONADO DR APT 1019, DENTON, TX 76209-0972
(810) 516-7940

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
950071
TX

Other

Enumeration date
12/18/2018
Last updated
12/18/2018
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