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1952392953
BRIAN MARCUS KRUSTCHINSKY
TEMPLE, TX
NPI
1952392953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA04982)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2005-10-31
Last Update Date
2023-12-18
Business Address
Mr. BRIAN MARCUS KRUSTCHINSKY PA
2401 S 31ST ST
TEMPLE, TX 76508-1885
Phone number: 254-724-2111
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Mailing Address
Mr. BRIAN MARCUS KRUSTCHINSKY PA
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-724-2111
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