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1225520455
ETHAN WILLIAM GINGRAS
DALLAS, TX
NPI
1225520455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP137475)
Enumeration Date
2018-06-04
Last Update Date
2023-03-31
Business Address
ETHAN WILLIAM GINGRAS Nurse Practitioner
39769 I-20
DALLAS, TX 75237
Phone number: 972-780-0802
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Mailing Address
ETHAN WILLIAM GINGRAS Nurse Practitioner
798 DEVERSON DR
ROCKWALL, TX 75087-7172
Phone number: 469-396-3360
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