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1225812472
JUAN DE LEON
SAN ANTONIO, TX
NPI
1225812472
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1014119)
Enumeration Date
2023-08-21
Last Update Date
2023-08-21
Business Address
JUAN DE LEON
4647 MEDICAL DR
SAN ANTONIO, TX 78229-4403
Phone number: 210-358-8145
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Mailing Address
JUAN DE LEON
4647 MEDICAL DR
SAN ANTONIO, TX 78229-4403
Phone number: 210-358-8145
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