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1356312672
JOSE MANUEL FONSECA
FORT SAM HOUSTON, TX
NPI
1356312672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: FL 9086)
Enumeration Date
2006-01-27
Last Update Date
2007-07-08
Business Address
Mr. JOSE MANUEL FONSECA PT
3851 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4501
Phone number: 210-916-3249
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Mailing Address
Mr. JOSE MANUEL FONSECA PT
3218 MONARCH
SAN ANTONIO, TX 78259-2260
Phone number: 210-536-4086
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