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1003567447
PAUL JOSEPH FANUCCHI
SAN ANTONIO, TX
NPI
1003567447
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0300X Internal Medicine, Geriatric Medicine
(Licence: TX AP108274)
Enumeration Date
2022-01-18
Last Update Date
2022-01-18
Business Address
Mr. PAUL JOSEPH FANUCCHI NP
MARIANIST RESIDENCE 520 FONDHAM
SAN ANTONIO, TX 78228-4821
Phone number: 210-434-4157
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Mailing Address
Mr. PAUL JOSEPH FANUCCHI NP
MARIANIST RESIDENCE 520 FONDHAM
SAN ANTONIO, TX 78228-4821
Phone number: 210-434-4157
Copy
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