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1164924767
CRYSTAL DIANE HUERTA
SAN ANTONIO, TX
NPI
1164924767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 213267)
Enumeration Date
2018-02-28
Last Update Date
2018-02-28
Business Address
CRYSTAL DIANE HUERTA LVN
3201 CHERRY RIDGE ST STE D400
SAN ANTONIO, TX 78230-4820
Phone number: 210-692-0222
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Mailing Address
CRYSTAL DIANE HUERTA LVN
3531 COPPER RIM
SAN ANTONIO, TX 78245-1682
Phone number: 210-313-2377
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