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1144450339
ELISA GERDES
FORT WORTH, TX
NPI
1144450339
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA06275)
Enumeration Date
2009-07-22
Last Update Date
2014-06-23
Business Address
-- ELISA GERDES PA
4504 BOAT CLUB RD STE 800
FORT WORTH, TX 76135-7002
Phone number: 817-237-0515
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Mailing Address
-- ELISA GERDES PA
4504 BOAT CLUB RD STE 800
FORT WORTH, TX 76135-7002
Phone number: 817-237-0515
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