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Individual
MARY HARRELL WINBORN
Active
Individual
MARY HARRELL WINBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06772
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220304402
—
TX
05
—
220304403
—
TX
05
—
220304404
—
TX
Enumeration date
07/14/2010
Last updated
12/25/2019
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