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1255461349
NIELS-JORGEN DYRVED
DALLAS, TX
NPI
1255461349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0101X Pathology, Anatomic Pathology
(Licence: TX TEMPORARY)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
-- NIELS-JORGEN DYRVED MD
5323 HARRY HINES BLVD
DALLAS, TX 75390-7208
Phone number: 214-645-0624
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Mailing Address
-- NIELS-JORGEN DYRVED MD
PO BOX 845347
DALLAS, TX 75284-5347
Phone number: 214-645-0624
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