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1144311002
LORI RAE WIMBERLEY
IRVING, TX
NPI
1144311002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TX 01269)
Enumeration Date
2006-09-27
Last Update Date
2011-03-18
Business Address
-- LORI RAE WIMBERLEY P.A.
122 VILLAGE CTR
IRVING, TX 75061-2647
Phone number: 972-573-2151
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Mailing Address
-- LORI RAE WIMBERLEY P.A.
122 VILLAGE CTR
IRVING, TX 75061-2647
Phone number: 972-573-2151
Copy
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