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1417577834
JOHN EISENGA
DALLAS, TX
NPI
1417577834
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-26
Last Update Date
2020-04-27
Business Address
JOHN EISENGA MD
3500 GASTON AVE
DALLAS, TX 75246-2017
Phone number: 214-820-2361
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Mailing Address
JOHN EISENGA MD
6012 PIERCE ST
OMAHA, NE 68106-1524
Phone number: 616-446-9183
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