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1043201932
CHARLES ALLEN PROULX
SAN ANTONIO, TX
NPI
1043201932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA04030)
Enumeration Date
2005-10-31
Last Update Date
2017-04-10
Business Address
-- CHARLES ALLEN PROULX PA-C
7431 NW LOOP 410 STE 109
SAN ANTONIO, TX 78245-3597
Phone number: 210-477-7190
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Mailing Address
-- CHARLES ALLEN PROULX PA-C
2961 MOSSROCK
SAN ANTONIO, TX 78230-5119
Phone number: 210-731-4800
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