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1326528993
ALEXA D PHILIPOSE
MANSFIELD, TX
NPI
1326528993
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA12130)
Enumeration Date
2018-08-14
Last Update Date
2019-10-31
Business Address
ALEXA D PHILIPOSE PA
801 MATLOCK RD
MANSFIELD, TX 76063-9174
Phone number: 817-347-8400
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Mailing Address
ALEXA D PHILIPOSE PA
PO BOX 99213
FORT WORTH, TX 76199-0213
Phone number: 682-885-1860
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