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1265081657
JOSE M PENA
SAN ANTONIO, TX
NPI
1265081657
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2019-09-09
Last Update Date
2019-09-09
Business Address
Mr. JOSE M PENA
816 FLORIDA ST
SAN ANTONIO, TX 78210
Phone number: 210-313-8592
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Mailing Address
Mr. JOSE M PENA
PO BOX #10596
SAN ANTONIO, TX 78210
Phone number: 210-313-8592
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