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1548752744
JOEL WISE
FORT WORTH, TX
NPI
1548752744
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TX PA12151)
Enumeration Date
2018-06-04
Last Update Date
2018-08-02
Business Address
JOEL WISE PA
1325 PENNSYLVANIA AVE STE 680
FORT WORTH, TX 76104
Phone number: 817-250-4235
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Mailing Address
JOEL WISE PA
1325 PENNSYLVANIA AVE STE 680
FORT WORTH, TX 76104-2133
Phone number: 817-250-4235
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