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1124472915
SAMUEL SEGUNDO JIMENEZ
KATY, TX
NPI
1124472915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: WI 16-180)
Enumeration Date
2016-04-18
Last Update Date
2016-04-18
Business Address
-- SAMUEL SEGUNDO JIMENEZ SA-C
3903 S MASON RD APT #111
KATY, TX 77450-7708
Phone number: 786-660-6908
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Mailing Address
-- SAMUEL SEGUNDO JIMENEZ SA-C
3909 S MASON R APT #111
KATY, TX 77450
Phone number: 786-660-6908
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