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1265587166
TERESA WILLIS
FORT WORTH, TX
NPI
1265587166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA02067)
Enumeration Date
2007-01-24
Last Update Date
2007-07-08
Business Address
-- TERESA WILLIS PA
8608 IRON GATE CT
FORT WORTH, TX 76179-3024
Phone number: 817-927-2332
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Mailing Address
-- TERESA WILLIS PA
8608 IRON GATE CT
FORT WORTH, TX 76179-3024
Phone number: 817-927-2332
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