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1154754513
DOMITILO PONCE
SAN ANTONIO, TX
NPI
1154754513
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: TX 56588)
Enumeration Date
2013-08-20
Last Update Date
2013-08-20
Business Address
MR. DOMITILO PONCE LMSW
7400 MERTON MINTER ST
SAN ANTONIO, TX 78229-4404
Phone number: 210-617-5113
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Mailing Address
MR. DOMITILO PONCE LMSW
15003 PEARCE LN
DEL VALLE, TX 78617-5763
Phone number: 512-739-1710
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