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1396714242
LISABETH D HOGAN-MOODY
MANSFIELD, TX
NPI
1396714242
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA02623)
Enumeration Date
2006-03-14
Last Update Date
2014-04-28
Business Address
-- LISABETH D HOGAN-MOODY PA-C
2800 E BROAD ST SUITE 124
MANSFIELD, TX 76063-6409
Phone number: 817-539-0959
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Mailing Address
-- LISABETH D HOGAN-MOODY PA-C
2800 E BROAD ST SUITE 124
MANSFIELD, TX 76063-6409
Phone number: 817-539-0959
Copy
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