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Individual

MR. JOSE A JASSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
3605 NE LOOP 286 STE 200, PARIS, TX 75460-5091
(903) 737-4337
Mailing address
125 W GARNER ST, DETROIT, TX 75436-2036
(903) 249-6462

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
312570
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
312570
REGISTERED NURSE
TX
Enumeration date
03/14/2018
Last updated
03/14/2018
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