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1710423884
ISURI WEERASINGHE
FORT WORTH, TX
NPI
1710423884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA11084)
Enumeration Date
2017-01-13
Last Update Date
2018-06-22
Business Address
ISURI WEERASINGHE MPAS, MPH, PA-C
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Phone number: 817-321-0404
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Mailing Address
ISURI WEERASINGHE MPAS, MPH, PA-C
816 W CANNON ST
FORT WORTH, TX 76104-3146
Phone number: 817-321-0404
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