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1144050873
JAXTER PANIADIMA
CORPUS CHRISTI, TX
NPI
1144050873
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX BP10090296)
Enumeration Date
2024-08-06
Last Update Date
2024-08-06
Business Address
Dr. JAXTER PANIADIMA MD.
3533 S ALAMEDA ST
CORPUS CHRISTI, TX 78411-1721
Phone number: 361-694-5465
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Mailing Address
Dr. JAXTER PANIADIMA MD.
3533 S ALAMEDA ST
CORPUS CHRISTI, TX 78411-1721
Phone number: 361-694-5465
Copy
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