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1174186621
JOSE MEDRANO
EL PASO, TX
NPI
1174186621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP141428)
Enumeration Date
2019-04-19
Last Update Date
2021-02-23
Business Address
JOSE MEDRANO
2260 TRAWOOD DR
EL PASO, TX 79935-3040
Phone number: 915-591-4632
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Mailing Address
JOSE MEDRANO
12977 BIRDSVIEW CIR
EL PASO, TX 79938-2792
Phone number: 915-355-9084
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