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1255078085
LUIS CAPORUSSO
SAN ANTONIO, TX
NPI
1255078085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: TX 39)
Enumeration Date
2022-05-13
Last Update Date
2022-05-13
Business Address
LUIS CAPORUSSO
4502 MEDICAL DR
SAN ANTONIO, TX 78229-4402
Phone number: 210-358-4000
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Mailing Address
LUIS CAPORUSSO
12235 VANCE JACKSON RD APT 726
SAN ANTONIO, TX 78230-5964
Phone number:
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