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1710459896
GENEVIEVE MARIE KONICKE
AUSTIN, TX
NPI
1710459896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TX PA12417)
Enumeration Date
2018-12-29
Last Update Date
2018-12-29
Business Address
GENEVIEVE MARIE KONICKE PA-C
4900 MUELLER BLVD
AUSTIN, TX 78723-3079
Phone number: 855-324-0091
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Mailing Address
GENEVIEVE MARIE KONICKE PA-C
4900 MUELLER BLVD
AUSTIN, TX 78723-3079
Phone number:
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