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Individual

MS. CAROL FORREST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
1515 TRUEMPER ST, LACKLAND A F B, TX 78236-5583
(210) 292-4067
Mailing address
119 ATWATER DR, SAN ANTONIO, TX 78213-3319
(210) 979-8458

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0001214
MD

Other

Enumeration date
02/06/2007
Last updated
07/08/2007
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