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1730163593
KELLY J EISAMAN
DALLAS, TX
NPI
1730163593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 558614)
Enumeration Date
2005-12-05
Last Update Date
2023-07-24
Business Address
KELLY J EISAMAN NPC
9250 AMBERTON PKWY
DALLAS, TX 75243-3224
Phone number: 214-860-6300
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Mailing Address
KELLY J EISAMAN NPC
9250 AMBERTON PKWY
DALLAS, TX 75243-3224
Phone number: 214-860-6300
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