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1871167312
MARY GRACE BOUSTANY
DALLAS, TX
NPI
1871167312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2021-05-19
Last Update Date
2021-05-19
Business Address
MARY GRACE BOUSTANY PA-C
5200 HARRY HINES BLVD
DALLAS, TX 75235-7709
Phone number: 214-590-8000
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Mailing Address
MARY GRACE BOUSTANY PA-C
1006 ROSELAWN DR
LAFAYETTE, LA 70503-4138
Phone number:
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