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1023798519
MIZRAIM GOMEZ
SAN ANTONIO, TX
NPI
1023798519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 1126946)
Enumeration Date
2023-07-20
Last Update Date
2023-07-20
Business Address
MIZRAIM GOMEZ CRNA
4502 MEDICAL DR
SAN ANTONIO, TX 78229-4402
Phone number: 210-358-0572
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Mailing Address
MIZRAIM GOMEZ CRNA
903 W MARTIN ST
SAN ANTONIO, TX 78207-0903
Phone number: 210-358-0572
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