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1083080691
CHANISE CYRUS
JBSA LACKLAND, TX
NPI
1083080691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2015-08-18
Last Update Date
2020-03-03
Business Address
Ms. CHANISE CYRUS PA-C, DSc, MPAS
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236-5638
Phone number: 210-292-4277
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Mailing Address
Ms. CHANISE CYRUS PA-C, DSc, MPAS
1100 WILFORD HALL LOOP
LACKLAND AFB, TX 78236-5638
Phone number: 210-292-5050
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