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1043662034
ALICIA VALDIVIEZO
GARLAND, TX
NPI
1043662034
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA11137)
Enumeration Date
2016-07-01
Last Update Date
2022-07-21
Business Address
ALICIA VALDIVIEZO
2046 FOREST LN STE 130
GARLAND, TX 75042
Phone number: 975-494-4494
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Mailing Address
ALICIA VALDIVIEZO
2046 FOREST LN STE 130
GARLAND, TX 75042-7996
Phone number: 975-494-4494
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