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1033614029
ANDRES ALBERTO LEOS
AUSTIN, TX
NPI
1033614029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX 35462)
Enumeration Date
2018-03-29
Last Update Date
2018-03-29
Business Address
ANDRES ALBERTO LEOS
2409 UNIVERSITY AVE
AUSTIN, TX 78712-1112
Phone number: 512-471-1737
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Mailing Address
ANDRES ALBERTO LEOS
2333 JULIETTE LOW DR
EL PASO, TX 79936-4095
Phone number: 915-319-0787
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