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1912687351
MONIC LISSETTE WILDASIN
EL PASO, TX
NPI
1912687351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-07-20
Last Update Date
2023-07-20
Business Address
MONIC LISSETTE WILDASIN PA-C
18511 HIGHLANDER MEDICS ST
EL PASO, TX 79906-5327
Phone number: 713-962-7990
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Mailing Address
MONIC LISSETTE WILDASIN PA-C
299 KINGSPOINT DR APT 127
EL PASO, TX 79912-6511
Phone number: 713-962-7990
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