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1235793803
STEVEN TIMOTHY POTTER
SAN ANTONIO, TX
NPI
1235793803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX BP10066497)
Enumeration Date
2019-04-29
Last Update Date
2019-04-29
Business Address
STEVEN TIMOTHY POTTER DO
4502 MEDICAL DR
SAN ANTONIO, TX 78229-4402
Phone number: 210-567-5300
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Mailing Address
STEVEN TIMOTHY POTTER DO
7703 FLOYD CURL DR
SAN ANTONIO, TX 78229-3901
Phone number: 210-567-5300
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