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1922004969
ELIZABETH J WANNER
TOMBALL, TX
NPI
1922004969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX H8495)
Enumeration Date
2005-06-23
Last Update Date
2012-04-26
Business Address
-- ELIZABETH J WANNER
1101 ALMA ST STE 102
TOMBALL, TX 77375-4559
Phone number: 281-351-1411
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Mailing Address
-- ELIZABETH J WANNER
1101 ALMA ST STE 102
TOMBALL, TX 77375-4559
Phone number: 281-351-1411
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