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1821692518
PRIMARY MD PLLC
PLANO, TX
NPI
1821692518
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Entity Type
Organization
Authorized Contact
ALEXANDER M TANJUAKIO
Owner
469-642-4345
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2020-11-24
Last Update Date
2020-12-01
Business Address
PRIMARY MD PLLC
2755 W 15TH ST
PLANO, TX 75075-7525
Phone number: 469-642-4345
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Mailing Address
PRIMARY MD PLLC
10605 LANSDOWNE LN
ROWLETT, TX 75089-8388
Phone number: 469-642-4345
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