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1639200231
AMY REYNE WENTWORTH-KOTARA
DALLAS, TX
NPI
1639200231
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA05178)
Enumeration Date
2007-03-08
Last Update Date
2019-08-19
Business Address
AMY REYNE WENTWORTH-KOTARA PA-C
2001 INWOOD RD
DALLAS, TX 75390
Phone number: 214-645-2800
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Mailing Address
AMY REYNE WENTWORTH-KOTARA PA-C
PO BOX 845347
DALLAS, TX 75284-7208
Phone number: 214-645-2800
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