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1073650594
SERGIO P LONGORIA
CORPUS CHRISTI, TX
NPI
1073650594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 207021)
Enumeration Date
2007-01-31
Last Update Date
2007-07-08
Business Address
Mr. SERGIO P LONGORIA
600 ELIZABETH ST
CORPUS CHRISTI, TX 78404-2235
Phone number: 361-902-4850
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Mailing Address
Mr. SERGIO P LONGORIA
5142 LETHABY DR
CORPUS CHRISTI, TX 78413-5347
Phone number: 361-688-6982
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BAYSIDE THERAPY ASSOCIATES LLC