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1255863999
IZAAC ZETH BANDA
SAN ANTONIO, TX
NPI
1255863999
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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 35104931)
Enumeration Date
2017-03-31
Last Update Date
2017-03-31
Business Address
-- IZAAC ZETH BANDA
6407 VIEW POINT
SAN ANTONIO, TX 78229
Phone number: 210-387-0772
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Mailing Address
-- IZAAC ZETH BANDA
6407 VIEW PT
SAN ANTONIO, TX 78229-4245
Phone number: 210-387-0772
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