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1306310453
JERRY DEAN PALMORE
SAN ANTONIO, TX
NPI
1306310453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 8959)
Enumeration Date
2019-01-11
Last Update Date
2019-01-11
Business Address
JERRY DEAN PALMORE
3701 W COMMERCE ST
SAN ANTONIO, TX 78207-3611
Phone number: 210-434-0531
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Mailing Address
JERRY DEAN PALMORE
9031 KOENIG
SAN ANTONIO, TX 78251-2933
Phone number: 210-303-0666
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