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1255158747
IRISH JERISH ALAVA DEGOLLADO
SAN ANTONIO, TX
NPI
1255158747
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 864389)
Enumeration Date
2024-09-25
Last Update Date
2024-09-25
Business Address
IRISH JERISH ALAVA DEGOLLADO
7400 MERTON MINTER ST
SAN ANTONIO, TX 78229-4404
Phone number: 210-614-5300
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Mailing Address
IRISH JERISH ALAVA DEGOLLADO
7400 MERTON MINTER ST
SAN ANTONIO, TX 78229-4404
Phone number:
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