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1104201813
SUSAN KELLER
FORT WORTH, TX
NPI
1104201813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA09894)
Enumeration Date
2015-07-23
Last Update Date
2019-01-31
Business Address
SUSAN KELLER
6551 HARRIS PKWY STE 250
FORT WORTH, TX 76132
Phone number: 713-824-1883
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Mailing Address
SUSAN KELLER
6551 HARRIS PKWY STE 250
FORT WORTH, TX 76132-6115
Phone number: 713-824-1883
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