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1801590765
ROSABELLE PONG
AUSTIN, TX
NPI
1801590765
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA16663)
Enumeration Date
2023-03-27
Last Update Date
2024-04-09
Business Address
ROSABELLE PONG PA-C
811 CARDIFF DR
AUSTIN, TX 78745-2113
Phone number: 917-325-5384
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Mailing Address
ROSABELLE PONG PA-C
1717 I-35 N FRONTAGE RD. SUITE 200
ROUND ROCK, TX 78664-2113
Phone number: 512-964-6992
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