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1457093080
ANISA MARIE WAKIL
FORT WORTH, TX
NPI
1457093080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-13
Last Update Date
2022-04-13
Business Address
ANISA MARIE WAKIL MD
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-702-1244
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Mailing Address
ANISA MARIE WAKIL MD
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-702-1244
Copy
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