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1023774494
RANDY DIAZ VASQUEZ
SAN ANTONIO, TX
NPI
1023774494
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1354722)
Enumeration Date
2021-11-10
Last Update Date
2021-11-10
Business Address
RANDY DIAZ VASQUEZ DPT
11212 STATE HIGHWAY 151 STE 220
SAN ANTONIO, TX 78251-4501
Phone number: 210-399-4836
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Mailing Address
RANDY DIAZ VASQUEZ DPT
3619 PAESANOS PKWY STE 102
SAN ANTONIO, TX 78231-1254
Phone number: 210-399-4836
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