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1144046681
CHARLAINE ROSE PORQUEZ FAENGVAD
SAN ANTONIO, TX
NPI
1144046681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1290328)
Enumeration Date
2024-11-30
Last Update Date
2024-11-30
Business Address
CHARLAINE ROSE PORQUEZ FAENGVAD PT
16400 BLANCO RD
SAN ANTONIO, TX 78232-1902
Phone number: 210-572-4954
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Mailing Address
CHARLAINE ROSE PORQUEZ FAENGVAD PT
30857 SILVERADO SPUR
BULVERDE, TX 78163-2392
Phone number:
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