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1316693898
DASHAWN WOTHAM
SAN ANTONIO, TX
NPI
1316693898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 1066854)
Enumeration Date
2022-02-23
Last Update Date
2022-02-23
Business Address
DASHAWN WOTHAM
7710 W IH 10
SAN ANTONIO, TX 78230-4711
Phone number: 210-377-3355
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Mailing Address
DASHAWN WOTHAM
7710 W IH 10
SAN ANTONIO, TX 78230-4711
Phone number: 210-377-3355
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