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1104549682
DANTE ELIAZAR LUCIO
SAN ANTONIO, TX
NPI
1104549682
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1047259)
Enumeration Date
2022-09-21
Last Update Date
2022-09-21
Business Address
DANTE ELIAZAR LUCIO FNP
5290 MEDICAL DR
SAN ANTONIO, TX 78229-4849
Phone number: 210-614-6000
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Mailing Address
DANTE ELIAZAR LUCIO FNP
5290 MEDICAL DR
SAN ANTONIO, TX 78229-4849
Phone number: 210-614-6000
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