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1760792857
KEITH F DESONIER
FORT WORTH, TX
NPI
1760792857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA06946)
Enumeration Date
2010-10-07
Last Update Date
2011-06-09
Business Address
-- KEITH F DESONIER PA-C
1001 12TH AVE STE 140
FORT WORTH, TX 76104-3926
Phone number: 817-871-9069
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Mailing Address
-- KEITH F DESONIER PA-C
1001 12TH AVE STE 140
FORT WORTH, TX 76104-3926
Phone number: 817-871-9069
Copy
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