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1184153272
JASON HERRERA
EL PASO, TX
NPI
1184153272
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1174673)
Enumeration Date
2017-06-12
Last Update Date
2017-06-12
Business Address
JASON HERRERA
12332 DIANE TROYER WAY
EL PASO, TX 79936-6894
Phone number: 915-204-2547
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Mailing Address
JASON HERRERA
12332 DIANE TROYER WAY
EL PASO, TX 79936-6894
Phone number: 915-204-2547
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