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1104526862
KATHRYN ELISE QUINTANILLA
FORT WORTH, TX
NPI
1104526862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA16705)
Enumeration Date
2023-03-09
Last Update Date
2023-04-26
Business Address
KATHRYN ELISE QUINTANILLA PA-C
4927 BYERS AVENUE
FORT WORTH, TX 76107
Phone number: 817-994-2655
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Mailing Address
KATHRYN ELISE QUINTANILLA PA-C
4927 BYERS AVENUE
FORT WORTH, TX 76107
Phone number:
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