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1063022556
MARY QUINN FASSNACHT
AUSTIN, TX
NPI
1063022556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX 1011145)
Enumeration Date
2020-08-09
Last Update Date
2024-08-16
Business Address
MARY QUINN FASSNACHT CPNP-PC
4900 MUELLER BLVD RM 3J.015
AUSTIN, TX 78723-3051
Phone number: 512-324-0197
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Mailing Address
MARY QUINN FASSNACHT CPNP-PC
4900 MUELLER BLVD RM 3J.015
AUSTIN, TX 78723-3051
Phone number: 512-324-0197
Copy
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