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1104512151
MICHAEL PIMENTEL
WACO, TX
NPI
1104512151
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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
2023-04-13
Last Update Date
2023-04-13
Business Address
MICHAEL PIMENTEL
1600 PROVIDENCE DR
WACO, TX 76707-2261
Phone number: 254-313-4418
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Mailing Address
MICHAEL PIMENTEL
1600 PROVIDENCE DR
WACO, TX 76707-2261
Phone number: 254-313-4418
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