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1336716018
JOHN GABRIEL DE LA FUENTE
EDINBURG, TX
NPI
1336716018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 77100)
Enumeration Date
2021-06-09
Last Update Date
2024-10-20
Business Address
JOHN GABRIEL DE LA FUENTE MS
2114 BAHAMAS DR APT EDINBURG
EDINBURG, TX 78541-4960
Phone number: 956-358-8163
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Mailing Address
JOHN GABRIEL DE LA FUENTE MS
2114 BAHAMAS DR APT 1
EDINBURG, TX 78541-4960
Phone number: 956-358-8163
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