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1386125680
SAN JUANITA GOMEZ
LAREDO, TX
NPI
1386125680
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2018-08-24
Last Update Date
2018-08-24
Business Address
SAN JUANITA GOMEZ
615A GALE ST
LAREDO, TX 78041-5955
Phone number: 956-712-9988
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Mailing Address
SAN JUANITA GOMEZ
615A GALE ST
LAREDO, TX 78041-5955
Phone number: 956-712-9988
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