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1184442444
JOSHUA DAVID SERVANTEZ
LUBBOCK, TX
NPI
1184442444
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-09-26
Last Update Date
2024-09-26
Business Address
JOSHUA DAVID SERVANTEZ
10414 N FM 1264
LUBBOCK, TX 79415-7450
Phone number: 806-438-1158
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Mailing Address
JOSHUA DAVID SERVANTEZ
10414 N FM 1264
LUBBOCK, TX 79415-7450
Phone number: 806-438-1158
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