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1164896007
LA AGENCIA PROVIDER SERVICES, LLC
MISSION, TX
NPI
1164896007
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Entity Type
Organization
Authorized Contact
ROBERTO CENTENO
Memeber
956-890-9688
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2015-11-16
Last Update Date
2015-11-16
Business Address
LA AGENCIA PROVIDER SERVICES, LLC
1524 DOHERTY AVE SUITE 2
MISSION, TX 78572-4019
Phone number: 956-890-9688
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Mailing Address
LA AGENCIA PROVIDER SERVICES, LLC
1524 DOHERTY AVE SUITE 2
MISSION, TX 78572-4019
Phone number: 956-890-9688
Copy
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