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1912147810
DANELLE DENISE DISMUKE
SAN ANTONIO, TX
NPI
1912147810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA06180)
Enumeration Date
2009-03-05
Last Update Date
2018-11-29
Business Address
DANELLE DENISE DISMUKE PA-C
7979 WURZBACH RD
SAN ANTONIO, TX 78229-4427
Phone number: 210-450-1143
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Mailing Address
DANELLE DENISE DISMUKE PA-C
7979 WURZBACH RD
SAN ANTONIO, TX 78229-4427
Phone number: 210-450-1143
Copy
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