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1700330735
JADE LAZAROW
FORT WORTH, TX
NPI
1700330735
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA10698)
Enumeration Date
2016-08-08
Last Update Date
2016-09-26
Business Address
-- JADE LAZAROW PA-C
7400 MCCART AVE
FORT WORTH, TX 76133-7270
Phone number: 817-294-1651
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Mailing Address
-- JADE LAZAROW PA-C
PO BOX 9101 SUITE 600
COPPELL, TX 75019-9494
Phone number: 972-745-7500
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