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Individual

CLARA GRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
7924 N MACARTHUR BLVD, # 3081, IRVING, TX 75063-3736
(240) 388-3865
Mailing address
7924 N MACARTHUR BLVD, # 3081, IRVING, TX 75063-3736
(240) 388-3865

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA06810
TX

Other

Enumeration date
08/18/2010
Last updated
08/18/2010
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