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1629292669
ANNE MICKLEBURGH
WACO, TX
NPI
1629292669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA02063)
Enumeration Date
2007-04-12
Last Update Date
2020-09-23
Business Address
ANNE MICKLEBURGH PAC
2304 MARKETPLACE DR
WACO, TX 76711-2467
Phone number: 254-202-7300
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Mailing Address
ANNE MICKLEBURGH PAC
PO BOX 848476
DALLAS, TX 75284-8476
Phone number: 254-202-4655
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