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1124857099
JORGE BALDERAS
SAN ANTONIO, TX
NPI
1124857099
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 317688)
Enumeration Date
2024-07-30
Last Update Date
2024-07-30
Business Address
JORGE BALDERAS
11322 BRANDING DEPOT
SAN ANTONIO, TX 78254-5753
Phone number: 210-363-6913
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Mailing Address
JORGE BALDERAS
11322 BRANDING DEPOT
SAN ANTONIO, TX 78254-5753
Phone number: 210-363-6913
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