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1396201950
GRACIE MARIE PENA
SAN ANTONIO, TX
NPI
1396201950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 346926)
Enumeration Date
2019-02-19
Last Update Date
2019-02-19
Business Address
GRACIE MARIE PENA LVN
6831 LOMA SECCA
SAN ANTONIO, TX 78233-5395
Phone number: 210-633-4837
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Mailing Address
GRACIE MARIE PENA LVN
6831 LOMA SECCA
SAN ANTONIO, TX 78233-5395
Phone number:
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