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1861955544
CIARA LAUREN WISECUP
DALLAS, TX
NPI
1861955544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-04-10
Last Update Date
2019-04-10
Business Address
CIARA LAUREN WISECUP MD
3500 GASTON AVE
DALLAS, TX 75246-2088
Phone number: 214-820-2361
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Mailing Address
CIARA LAUREN WISECUP MD
5761 LAWNDALE DR APT B
EL PASO, TX 79912-4256
Phone number: 512-213-5489
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