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1316929888
GAIL TYRIA HOUSTON
FORT LEAVENWORTH, KS
NPI
1316929888
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: MD C100031)
Enumeration Date
2005-11-18
Last Update Date
2007-07-08
Business Address
MISS GAIL TYRIA HOUSTON PA-C
210 GRANT AVE ROOM 1809
FORT LEAVENWORTH, KS 66027-1231
Phone number: 913-758-3791
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Mailing Address
MISS GAIL TYRIA HOUSTON PA-C
2412 MOUNTAIN RD
JOPPA, MD 21085-2338
Phone number: 410-262-4305
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