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1114448933
DOMINGO CESAR SIFUENTES
HELOTES, TX
NPI
1114448933
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT4161)
Enumeration Date
2017-07-01
Last Update Date
2017-07-01
Business Address
Mr. DOMINGO CESAR SIFUENTES LAT
12221 LESLIE RD
HELOTES, TX 78023
Phone number: 210-884-5330
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Mailing Address
Mr. DOMINGO CESAR SIFUENTES LAT
12221 LESLIE RD
HELOTES, TX 78023
Phone number: 210-397-4846
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