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1356571657
ELAINE LARISSA DURYEA
DALLAS, TX
NPI
1356571657
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Former Name
ELAINE LARISSA GODAWSKI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: TX P1542)
Enumeration Date
2009-07-21
Last Update Date
2013-05-15
Business Address
-- ELAINE LARISSA DURYEA MD
5323 HARRY HINES BLVD
DALLAS, TX 75390-7201
Phone number: 214-645-3838
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Mailing Address
-- ELAINE LARISSA DURYEA MD
PO BOX 845347
DALLAS, TX 75284-5347
Phone number: 214-645-3838
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