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1376589606
CAROL DIANE DONNELLY
HOUSTON, TX
NPI
1376589606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TX PA04224)
Enumeration Date
2006-06-22
Last Update Date
2007-07-08
Business Address
Ms. CAROL DIANE DONNELLY PA-C
1515 HOLCOMBE BLVD
HOUSTON, TX 77030-4095
Phone number: 713-792-6161
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Mailing Address
Ms. CAROL DIANE DONNELLY PA-C
PO BOX 4439
HOUSTON, TX 77210-4439
Phone number: 713-792-2991
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