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1225402043
RUSANA BROOKS
SAN ANTONIO, TX
NPI
1225402043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
305S00000X Point of Service
(Licence: TX 141582)
Enumeration Date
2015-11-17
Last Update Date
2015-11-17
Business Address
-- RUSANA BROOKS
4139 BRIARGLEN
SAN ANTONIO, TX 78218-1521
Phone number: 210-590-8927
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Mailing Address
-- RUSANA BROOKS
4139 BRIARGLEN
SAN ANTONIO, TX 78218-1521
Phone number: 210-590-8927
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