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1164245551
BIANCA CARMEN BRAEUTIGAM
SAN ANTONIO, TX
NPI
1164245551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: TX 1179414)
Enumeration Date
2024-11-04
Last Update Date
2024-11-04
Business Address
BIANCA CARMEN BRAEUTIGAM APRN
5620 LONE STAR PKWY STE 2
SAN ANTONIO, TX 78253-2202
Phone number: 210-614-1231
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Mailing Address
BIANCA CARMEN BRAEUTIGAM APRN
16620 SAN PEDRO AVE STE 300
SAN ANTONIO, TX 78232-2679
Phone number: 210-403-5974
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