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1396737391
MAYNARD SHAWN GONTER
TYLER, TX
NPI
1396737391
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PAO1417)
Enumeration Date
2005-08-17
Last Update Date
2016-04-08
Business Address
Mr. MAYNARD SHAWN GONTER PA-C
800 E DAWSON ST
TYLER, TX 75701-2036
Phone number: 903-567-4841
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Mailing Address
Mr. MAYNARD SHAWN GONTER PA-C
PO BOX 846098
DALLAS, TX 75284-6098
Phone number: 903-324-6400
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