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MS. ASHLEY BRIANA-MARIE GENTRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
707 HOLLYBROOK DR # 200, LONGVIEW, TX 75605-2410
(903) 235-9787
(903) 291-6155
Mailing address
112 JONES RD, LONGVIEW, TX 75603-5842
(903) 235-9787

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12464
TX

Other

Enumeration date
12/04/2018
Last updated
12/04/2018
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