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Individual

SARAH JANE IRAGORRI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1010 W 40TH ST, AUSTIN, TX 78756-4010
(512) 459-8753
(512) 483-6807
Mailing address
1010 W 40TH ST, AUSTIN, TX 78756-4010
(512) 459-8753
(512) 483-6807

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA06346
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
208770201
TX
Enumeration date
08/17/2007
Last updated
04/13/2015
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