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1205611845
JUAN ALFARO CORNEJO
TYLER, TX
NPI
1205611845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
Enumeration Date
2023-08-30
Last Update Date
2023-08-30
Business Address
JUAN ALFARO CORNEJO CSFA
828 S FLEISHEL AVE
TYLER, TX 75701-2042
Phone number: 903-646-5350
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Mailing Address
JUAN ALFARO CORNEJO CSFA
113 THUNDERBIRD DR
ATHENS, TX 75751-3509
Phone number: 903-286-7671
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