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1306414313
ROYALTYSTAR LLC
SAN ANTONIO, TX
NPI
1306414313
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Entity Type
Organization
Authorized Contact
EPHRAIM FOMBO
Owner
254-761-0761
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2021-06-15
Last Update Date
2021-06-15
Business Address
ROYALTYSTAR LLC
710 SAN ANZA
SAN ANTONIO, TX 78260-4400
Phone number: 513-501-4177
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Mailing Address
ROYALTYSTAR LLC
710 SAN ANZA
SAN ANTONIO, TX 78260-4400
Phone number:
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