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1003547332
JEREMIAS LEODAN BRISENO
EDINBURG, TX
NPI
1003547332
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA17764)
Enumeration Date
2022-06-17
Last Update Date
2024-11-13
Business Address
JEREMIAS LEODAN BRISENO PA
5519 DOCTORS DR
EDINBURG, TX 78539-5563
Phone number: 956-362-8500
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Mailing Address
JEREMIAS LEODAN BRISENO PA
PO BOX 749
PHARR, TX 78577-1614
Phone number: 956-362-8500
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