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1447812565
JERUSHA MICHAL LANCASTER
GRAND PRAIRIE, TX
NPI
1447812565
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2019-06-29
Last Update Date
2019-06-29
Business Address
JERUSHA MICHAL LANCASTER PA
5040 STAGECOACH WAY
GRAND PRAIRIE, TX 75052-2438
Phone number: 817-733-9375
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Mailing Address
JERUSHA MICHAL LANCASTER PA
5040 STAGECOACH WAY
GRAND PRAIRIE, TX 75052-2438
Phone number: 817-733-9375
Copy
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