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1184207045
TABITHA JOANA FAITH CAROLINA
SAN ANTONIO, TX
NPI
1184207045
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX U0562)
Enumeration Date
2021-04-29
Last Update Date
2023-03-02
Business Address
TABITHA JOANA FAITH CAROLINA DO
1102 BARCLAY ST
SAN ANTONIO, TX 78207-7161
Phone number: 210-283-6304
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Mailing Address
TABITHA JOANA FAITH CAROLINA DO
13515 WEST AVE APT 1023
SAN ANTONIO, TX 78216-2088
Phone number: 405-204-3382
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