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Jabrill Jimaale
NPI 1912539024 · on the registry since 2020 · sole proprietor
Practice
- Address
- 5725 E Lancaster Ave
Fort Worth, TX 76112 - Phone
- (817) 851-1663
- Fax
- (817) 851-1664
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-02-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas