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1528554508
KATELYNN FAULK
FORT WORTH, TX
NPI
1528554508
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA12106)
Enumeration Date
2018-07-02
Last Update Date
2018-07-02
Business Address
KATELYNN FAULK PA
9509 N BEACH ST STE 101
FORT WORTH, TX 76244-6399
Phone number: 817-741-4347
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Mailing Address
KATELYNN FAULK PA
2412 CLAIRBORNE DR
FORT WORTH, TX 76177-8203
Phone number: 807-773-5504
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