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1114535549
IRA JOHN
SAN ANTONIO, TX
NPI
1114535549
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX AP145287)
Enumeration Date
2020-07-22
Last Update Date
2020-07-22
Business Address
IRA JOHN APRN
16620 SAN PEDRO AVE STE 300
SAN ANTONIO, TX 78232-2679
Phone number: 210-309-1405
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Mailing Address
IRA JOHN APRN
6730 ALAN HALE ST
SAN ANTONIO, TX 78240-2401
Phone number: 484-725-7143
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