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1063972891
NICHOLAS FERNANDO LOMBANA
TEMPLE, TX
NPI
1063972891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-03-20
Last Update Date
2019-03-20
Business Address
NICHOLAS FERNANDO LOMBANA
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 254-724-0630
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Mailing Address
NICHOLAS FERNANDO LOMBANA
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number:
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