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1821016403
JACQUELINE HARRIS
FORT WORTH, TX
NPI
1821016403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TX PA03245)
Enumeration Date
2006-07-18
Last Update Date
2019-09-09
Business Address
JACQUELINE HARRIS P.A.-C.
800 5TH AVE STE 300
FORT WORTH, TX 76104-7303
Phone number: 817-878-5300
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Mailing Address
JACQUELINE HARRIS P.A.-C.
800 5TH AVE STE 300
FORT WORTH, TX 76104-7303
Phone number: 817-878-5300
Copy
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