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1518519057
MICHAEL TREVOR HOUSEAL
MEMPHIS, TN
NPI
1518519057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TN 3903)
Enumeration Date
2019-07-15
Last Update Date
2019-07-15
Business Address
MICHAEL TREVOR HOUSEAL PA-C
1325 EASTMORELAND AVE STE 365
MEMPHIS, TN 38104-7542
Phone number: 901-272-6030
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Mailing Address
MICHAEL TREVOR HOUSEAL PA-C
P O BOX 1000 DEPT 960
MEMPHIS, TN 38148-0001
Phone number: 901-272-6030
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