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1710178017
IDALUPE WISHON
DALLAS, TX
NPI
1710178017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA02452)
Enumeration Date
2007-08-05
Last Update Date
2016-08-30
Business Address
-- IDALUPE WISHON PAC
2701 S HAMPTON RD SUITE 101
DALLAS, TX 75224-2367
Phone number: 214-330-9221
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Mailing Address
-- IDALUPE WISHON PAC
700 N PEARL ST SUITE N510
DALLAS, TX 75201-2824
Phone number: 214-580-7277
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