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1285312264
NICOLE DE LUCA
SAN ANTONIO, TX
NPI
1285312264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: TX 1114266)
Enumeration Date
2023-07-10
Last Update Date
2023-08-25
Business Address
NICOLE DE LUCA
3551 ROGER BROOKE DR
SAN ANTONIO, TX 78234-4504
Phone number: 210-916-8529
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Mailing Address
NICOLE DE LUCA
3551 ROGER BROOKE DR
SAN ANTONIO, TX 78234-4504
Phone number: 210-916-7500
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