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1396213138
ANTIONETTA SHAYREE DUBOSE
SAN ANTONIO, TX
NPI
1396213138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 332085)
Enumeration Date
2018-11-09
Last Update Date
2018-11-09
Business Address
ANTIONETTA SHAYREE DUBOSE
7710 W IH 10
SAN ANTONIO, TX 78230-4711
Phone number: 210-377-3355
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Mailing Address
ANTIONETTA SHAYREE DUBOSE
7710 W IH 10
SAN ANTONIO, TX 78230-4711
Phone number: 210-377-3355
Copy
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