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1013465178
NATHANIEL GRAHAM NORTHRUP
JBSA FT SAM HOUSTON, TX
NPI
1013465178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2016-09-19
Last Update Date
2024-07-25
Business Address
NATHANIEL GRAHAM NORTHRUP APA-C
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-2270
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Mailing Address
NATHANIEL GRAHAM NORTHRUP APA-C
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-2270
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