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1164506796
JACQUELINE MARIE WEATHERLY
HOUSTON, TX
NPI
1164506796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA04999)
Enumeration Date
2006-10-24
Last Update Date
2011-04-13
Business Address
-- JACQUELINE MARIE WEATHERLY PA-C
1515 HOLCOMBE BLVD
HOUSTON, TX 77030-4009
Phone number: 713-792-6161
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Mailing Address
-- JACQUELINE MARIE WEATHERLY PA-C
PO BOX 4439
HOUSTON, TX 77210-4439
Phone number: 713-792-2991
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