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1417251968
JUSTIN CHARLES PRINCE
TEMPLE, TX
NPI
1417251968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA06964)
Enumeration Date
2010-12-26
Last Update Date
2021-01-05
Business Address
Mr. JUSTIN CHARLES PRINCE PA
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 254-724-2111
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Mailing Address
Mr. JUSTIN CHARLES PRINCE PA
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-724-8800
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