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1265620736
VEDWATTIE D KOOMA
SAN ANTONIO, TX
NPI
1265620736
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TX 163458)
Enumeration Date
2007-10-10
Last Update Date
2007-10-10
Business Address
-- VEDWATTIE D KOOMA
3130 BIRKHEAD DR
SAN ANTONIO, TX 78234-2565
Phone number: 210-824-1268
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Mailing Address
-- VEDWATTIE D KOOMA
3130 BIRKHEAD DR
SAN ANTONIO, TX 78234-2565
Phone number: 210-824-1268
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