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1548851017
PHANE GESARE OTENYO
HOUSTON, TX
NPI
1548851017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA14294)
Enumeration Date
2021-01-28
Last Update Date
2021-01-28
Business Address
PHANE GESARE OTENYO
9130 HIGHWAY 6 S
HOUSTON, TX 77083-6376
Phone number: 281-564-3300
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Mailing Address
PHANE GESARE OTENYO
9130 HIGHWAY 6 S
HOUSTON, TX 77083-6376
Phone number: 979-645-0489
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