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1356550487
JOHNNY RAY LANGE
SAN ANTONIO, TX
NPI
1356550487
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 157145)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
Mr. JOHNNY RAY LANGE LVN
5507 ROYAL VISTA DR
SAN ANTONIO, TX 78247-4669
Phone number: 210-650-4794
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Mailing Address
Mr. JOHNNY RAY LANGE LVN
5507 ROYAL VISTA DR
SAN ANTONIO, TX 78247-4669
Phone number: 210-650-4794
Copy
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