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1265497887
JOSEFINA MACTAL
CORPUS CHRISTI, TX
NPI
1265497887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: TX G4343)
Enumeration Date
2006-04-18
Last Update Date
2007-10-26
Business Address
-- JOSEFINA MACTAL MD
2606 HOSPITAL BLVD
CORPUS CHRISTI, TX 78405-1818
Phone number: 361-949-4976
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Mailing Address
-- JOSEFINA MACTAL MD
804 SCOTT NIXON MEMORIAL DR
AUGUSTA, GA 30907-2464
Phone number: 800-394-4445
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