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1720832983
KALLIE SHAJARI
WACO, TX
NPI
1720832983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA18163)
Enumeration Date
2024-04-15
Last Update Date
2024-10-23
Business Address
KALLIE SHAJARI
100 HILLCREST MEDICAL BLVD
WACO, TX 76712-8897
Phone number: 254-202-2000
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Mailing Address
KALLIE SHAJARI
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-724-2111
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