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1417960535
JERALD L WELLS
FORT SAM HOUSTON, TX
NPI
1417960535
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: TX PA01379)
Enumeration Date
2006-08-14
Last Update Date
2020-11-30
Business Address
JERALD L WELLS PA
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-539-9582
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Mailing Address
JERALD L WELLS PA
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-539-9582
Copy
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