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1245743061
PATRICK A LASTIMOSA
FORT WORTH, TX
NPI
1245743061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
Enumeration Date
2017-11-15
Last Update Date
2017-11-15
Business Address
Mr. PATRICK A LASTIMOSA
500 THROCKMORTON ST APT 3309
FORT WORTH, TX 76102-3820
Phone number: 817-908-8124
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Mailing Address
Mr. PATRICK A LASTIMOSA
500 THROCKMORTON STREET UNIT 3309
FORTH WORTH, TX 76102
Phone number: 817-908-8124
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