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Individual

MRS. DANA LYNNE LANDAVAZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
10601 N RIVERSIDE DR, KELLER, TX 76244-2118
(817) 347-2600
(817) 247-2650
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07414
TX

Other

Enumeration date
01/10/2008
Last updated
04/22/2021
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