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1972113702
DENISE MARILU QUEZADA
MIDLAND, TX
NPI
1972113702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA15138)
Enumeration Date
2020-08-06
Last Update Date
2022-03-16
Business Address
DENISE MARILU QUEZADA PA
3600 N GARFIELD ST
MIDLAND, TX 79705-6329
Phone number: 432-620-1120
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Mailing Address
DENISE MARILU QUEZADA PA
200 CORPORATE BLVD
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698
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