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1619309101
NATHANIEL IAN BERRIOS
FORT WORTH, TX
NPI
1619309101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA08529)
Enumeration Date
2013-08-06
Last Update Date
2022-04-21
Business Address
Mr. NATHANIEL IAN BERRIOS P.A.-C
5750 W VICKERY BLVD STE 104
FORT WORTH, TX 76107-7448
Phone number: 817-732-2878
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Mailing Address
Mr. NATHANIEL IAN BERRIOS P.A.-C
5750 W VICKERY BLVD STE 104
FORT WORTH, TX 76107-7448
Phone number: 817-732-2878
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