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1093412256
HALIE ANNETTE MORENO
SOUTHLAKE, TX
NPI
1093412256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA16473)
Enumeration Date
2023-02-08
Last Update Date
2023-02-08
Business Address
HALIE ANNETTE MORENO PA-C, MPAS, MPH
100 W SOUTHLAKE BLVD STE 420
SOUTHLAKE, TX 76092-6166
Phone number: 870-918-2463
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Mailing Address
HALIE ANNETTE MORENO PA-C, MPAS, MPH
301 SILVERON APT 8102
FLOWER MOUND, TX 75028-4140
Phone number: 870-918-2463
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