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1952744021
IMA SUMAC DUCHICELA TANNER
RICHARDSON, TX
NPI
1952744021
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Other Name
IMA SUMAC DUCHICELA TANNER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX R2023)
Enumeration Date
2013-04-09
Last Update Date
2018-06-04
Business Address
IMA SUMAC DUCHICELA TANNER M.D.
3030 WATERVIEW PKWY
RICHARDSON, TX 75080
Phone number: 972-669-7070
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Mailing Address
IMA SUMAC DUCHICELA TANNER M.D.
3030 WATERVIEW PKWY
RICHARDSON, TX 75080-1400
Phone number: 972-669-7070
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