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1871084632
MARYSE EMMERENCIA BAKOUETILA
IRVING, TX
NPI
1871084632
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX T3586)
Enumeration Date
2018-05-28
Last Update Date
2021-11-17
Business Address
Dr. MARYSE EMMERENCIA BAKOUETILA MD
2021 N MACARTHUR BLVD STE 350
IRVING, TX 75061-2217
Phone number: 972-817-1600
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Mailing Address
Dr. MARYSE EMMERENCIA BAKOUETILA MD
10902 SHETTLESTON DR
RICHMOND, TX 77407-2809
Phone number: 936-649-2520
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