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1073162160
MOUNGER NP FIRST ASSIST
SAN ANTONIO, TX
NPI
1073162160
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Entity Type
Organization
Authorized Contact
WILMER KYLE MOUNGER
Owner
973-865-2944
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2019-09-10
Last Update Date
2019-09-10
Business Address
MOUNGER NP FIRST ASSIST
12014 FORT LEATON
SAN ANTONIO, TX 78254-6363
Phone number: 973-865-2944
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Mailing Address
MOUNGER NP FIRST ASSIST
12014 FORT LEATON
SAN ANTONIO, TX 78254-6363
Phone number: 973-865-2944
Copy
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