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1275282873
GUSTAVO BOETA-LOPEZ
MERCEDES, TX
NPI
1275282873
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-21
Last Update Date
2023-05-30
Business Address
Dr. GUSTAVO BOETA-LOPEZ MD
2810 W EXPRESSWAY 83
MERCEDES, TX 78570-9704
Phone number: 956-296-1831
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Mailing Address
Dr. GUSTAVO BOETA-LOPEZ MD
2810 W EXPRESSWAY 83
MERCEDES, TX 78570-9704
Phone number: 956-296-1831
Copy
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