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1396367975
JACOB DANIEL DE LA GARZA
SAN ANTONIO, TX
NPI
1396367975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-05-18
Last Update Date
2020-05-18
Business Address
JACOB DANIEL DE LA GARZA
1415 N MAIN AVE APT 1325
SAN ANTONIO, TX 78212-4306
Phone number: 210-867-7467
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Mailing Address
JACOB DANIEL DE LA GARZA
1415 N MAIN AVE APT 1325
SAN ANTONIO, TX 78212-4306
Phone number: 210-867-7467
Copy
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