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1114402344
TAYLOR WISEMAN
AUSTIN, TX
NPI
1114402344
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA12257)
Enumeration Date
2018-10-03
Last Update Date
2018-10-03
Business Address
TAYLOR WISEMAN PA-C
1600 W 38TH ST STE 200
AUSTIN, TX 78731-6405
Phone number: 512-324-3580
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Mailing Address
TAYLOR WISEMAN PA-C
6500 CHAMPION GRANDVIEW WAY APT 7103
AUSTIN, TX 78750-8288
Phone number: 281-919-3822
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