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1124039201
GINA VANDEVENDER
BEAUMONT, TX
NPI
1124039201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA00363)
Enumeration Date
2006-08-11
Last Update Date
2014-04-21
Business Address
Mrs. GINA VANDEVENDER PA
810 HOSPITAL DR STE 115
BEAUMONT, TX 77701-4600
Phone number: 409-838-4533
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Mailing Address
Mrs. GINA VANDEVENDER PA
810 HOSPITAL DR STE 115
BEAUMONT, TX 77701-4600
Phone number: 409-838-4533
Copy
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