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1083663835
KEVIN MICHAEL PERNICANO
SAN ANTONIO, TX
NPI
1083663835
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: TX 37643)
Enumeration Date
2006-05-09
Last Update Date
2020-03-16
Business Address
DR. KEVIN MICHAEL PERNICANO PHD
8800 VILLAGE DRIVE STE 209
SAN ANTONIO, TX 78217
Phone number: 210-202-0100
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Mailing Address
DR. KEVIN MICHAEL PERNICANO PHD
2071 WIND CHIME WAY
NEW BRAUNFELS, TX 78130
Phone number: 210-278-4584
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