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1043516412
JOSHUA ANDREW WANEK
CORPUS CHRISTI, TX
NPI
1043516412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX 25903)
Enumeration Date
2011-02-02
Last Update Date
2011-02-02
Business Address
JOSHUA ANDREW WANEK
7714 MONTEREAU ST
CORPUS CHRISTI, TX 78414-6048
Phone number: 361-813-5551
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Mailing Address
JOSHUA ANDREW WANEK
7714 MONTEREAU ST
CORPUS CHRISTI, TX 78414-6048
Phone number: 361-813-5551
Copy
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