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1134513229
COLBY MARK GENRICH
EL PASO, TX
NPI
1134513229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
(Licence: TX S2310)
Enumeration Date
2015-03-26
Last Update Date
2023-04-05
Business Address
COLBY MARK GENRICH
9849 KENWORTHY ST
EL PASO, TX 79924-4402
Phone number: 915-215-5500
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Mailing Address
COLBY MARK GENRICH
440 RAYNOLDS ST # 51015
EL PASO, TX 79905-1613
Phone number: 915-215-4479
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