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1356740856
ASHTON KANNENBERG
GEORGETOWN, TX
NPI
1356740856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA09337)
Enumeration Date
2014-08-20
Last Update Date
2022-01-25
Business Address
ASHTON KANNENBERG PA-C
4945 WILLIAMS DR
GEORGETOWN, TX 78633-2008
Phone number: 512-819-0500
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Mailing Address
ASHTON KANNENBERG PA-C
PO BOX 844658
DALLAS, TX 75284-4658
Phone number:
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