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1821148214
LISA RAE HANNA
COLLEGE STATION, TX
NPI
1821148214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA03623)
Enumeration Date
2007-01-10
Last Update Date
2021-12-07
Business Address
LISA RAE HANNA PA-C
700 SCOTT AND WHITE DR
COLLEGE STATION, TX 77845
Phone number: 979-207-0100
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Mailing Address
LISA RAE HANNA PA-C
PO BOX 844658
DALLAS, TX 75284-4658
Phone number:
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