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1790889004
TRICIA NICOLE MEWBOURNE
PLANO, TX
NPI
1790889004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant Surgical
(Licence: TX 07016)
Enumeration Date
2006-09-08
Last Update Date
2018-06-25
Business Address
TRICIA NICOLE MEWBOURNE PA
4708 ALLIANCE BLVD SUITE 810
PLANO, TX 75093-5340
Phone number: 972-985-2797
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Mailing Address
TRICIA NICOLE MEWBOURNE PA
8080 INDEPENDENCE PKWY STE 230
PLANO, TX 75025-4013
Phone number: 972-985-2797
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