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1699163642
ELISE VADER
SAN ANTONIO, TX
NPI
1699163642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA09491)
Enumeration Date
2014-12-29
Last Update Date
2021-02-10
Business Address
ELISE VADER
919 LOCKE ST
SAN ANTONIO, TX 78208-2127
Phone number: 210-358-8255
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Mailing Address
ELISE VADER
PO BOX 734812
DALLAS, TX 75373-4812
Phone number: 210-358-9500
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