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1376507541
HOLLY DAWN SHORT
LUBBOCK, TX
NPI
1376507541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA04050)
Enumeration Date
2006-04-14
Last Update Date
2014-07-25
Business Address
-- HOLLY DAWN SHORT PA
4110 22ND PL
LUBBOCK, TX 79410-1122
Phone number: 806-792-4329
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Mailing Address
-- HOLLY DAWN SHORT PA
4110 22ND PL
LUBBOCK, TX 79410-1122
Phone number: 806-792-4329
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