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1336621887
JOE A GONZALEZ
CARROLLTON, TX
NPI
1336621887
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Former Name
JOE ANTHONY GONZALEZ
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 211747)
Enumeration Date
2018-08-31
Last Update Date
2018-08-31
Business Address
JOE A GONZALEZ
1855 CHEYENNE DR
CARROLLTON, TX 75010-2201
Phone number: 972-394-7191
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Mailing Address
JOE A GONZALEZ
11109 MAYFIELD DR
CORPUS CHRISTI, TX 78410-2827
Phone number: 512-800-2897
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