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1205818895
EDWARD MANIGAULT
FORT SAM HOUSTON, TX
NPI
1205818895
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: VA 0102201616)
Enumeration Date
2005-11-18
Last Update Date
2007-07-08
Business Address
Dr. EDWARD MANIGAULT D.O.
3851 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4501
Phone number: 210-916-1415
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Mailing Address
Dr. EDWARD MANIGAULT D.O.
3333 OAKWELL CT
SAN ANTONIO, TX 78218-3046
Phone number: 215-852-9933
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