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1134758964
MARK LEE NENTWIG
DALLAS, TX
NPI
1134758964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA13531)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2020-04-03
Last Update Date
2024-08-19
Business Address
MARK LEE NENTWIG PA
6411 E NORTHWEST HWY STE 120
DALLAS, TX 75231-8007
Phone number: 469-495-9110
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Mailing Address
MARK LEE NENTWIG PA
6411 E NORTHWEST HWY STE 120
DALLAS, TX 75231-8007
Phone number:
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