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1003495912
BRYAN BOTELLO
EL PASO, TX
NPI
1003495912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX 1034153)
Enumeration Date
2021-04-07
Last Update Date
2021-04-07
Business Address
BRYAN BOTELLO NP
4305 N MESA ST
EL PASO, TX 79902-1123
Phone number: 915-532-2477
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Mailing Address
BRYAN BOTELLO NP
4305 N MESA ST STE A
EL PASO, TX 79902-1124
Phone number: 915-532-2477
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