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1225591662
CARLOS ALFONSO CARRILLO
EL PASO, TX
NPI
1225591662
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 29949)
Enumeration Date
2019-04-11
Last Update Date
2019-05-17
Business Address
CARLOS ALFONSO CARRILLO
1700 MURCHISON DR
EL PASO, TX 79902-2931
Phone number: 155-337-4659
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Mailing Address
CARLOS ALFONSO CARRILLO
1700 MURCHISON DR
EL PASO, TX 79902-2931
Phone number: 915-533-7465
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