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1114691359
ADAM CHURCH
FORT CAVAZOS, TX
NPI
1114691359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: 1185862)
Enumeration Date
2021-08-02
Last Update Date
2024-05-14
Business Address
ADAM CHURCH PA-C
590 MEDICAL CENTER ROAD
FORT CAVAZOS, TX 76544
Phone number: 210-900-5491
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Mailing Address
ADAM CHURCH PA-C
406 SAGE BRUSH
BELTON, TX 76513-3796
Phone number: 210-900-5491
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