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1063264208
NIVA BAMBACK
SAN ANTONIO, TX
NPI
1063264208
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-02
Last Update Date
2024-10-27
Business Address
NIVA BAMBACK DO
7703 FLOYD CURL DR
SAN ANTONIO, TX 78229-3901
Phone number: 210-567-7000
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Mailing Address
NIVA BAMBACK DO
7703 FLOYD CURL DR
SAN ANTONIO, TX 78229-3901
Phone number:
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