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1417974007
STEPHANIE L LAWRENCE
FORT WORTH, TX
NPI
1417974007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA03195)
Enumeration Date
2006-07-17
Last Update Date
2013-03-29
Business Address
-- STEPHANIE L LAWRENCE PA
1250 8TH AVE SUITE 435
FORT WORTH, TX 76104-4124
Phone number: 817-923-0088
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Mailing Address
-- STEPHANIE L LAWRENCE PA
PO BOX 961205
FORT WORTH, TX 76161-1205
Phone number: 817-740-8400
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