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1578815304
GENA MARIE ETTINGER
SOUTHLAKE, TX
NPI
1578815304
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Former Name
GENA MARIE COX
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA08076)
Enumeration Date
2012-10-03
Last Update Date
2021-07-09
Business Address
Mrs. GENA MARIE ETTINGER PA-C
505 S NOLEN DR STE B
SOUTHLAKE, TX 76092-9167
Phone number: 817-410-7777
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Mailing Address
Mrs. GENA MARIE ETTINGER PA-C
PO BOX 35629
DALLAS, TX 75235-0629
Phone number: 214-424-2213
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