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1023575958
JOVANY JOSUE PEREZ
LAREDO, TX
NPI
1023575958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT8310)
Enumeration Date
2019-02-27
Last Update Date
2021-06-07
Business Address
JOVANY JOSUE PEREZ
10107 GALISTEO DR
LAREDO, TX 78045-6388
Phone number: 956-489-0705
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Mailing Address
JOVANY JOSUE PEREZ
10107 GALISTEO DR
LAREDO, TX 78045-6388
Phone number: 956-489-0705
Copy
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