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1285727941
WISSAM NOUBANI
FORT WORTH, TX
NPI
1285727941
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA03902)
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
-- WISSAM NOUBANI P.A.-C
4504 BOAT CLUB RD SUITE 800
FORT WORTH, TX 76135-7003
Phone number: 817-237-0515
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Mailing Address
-- WISSAM NOUBANI P.A.-C
4504 BOAT CLUB RD SUITE 800
FORT WORTH, TX 76135-7003
Phone number: 817-237-4794
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