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1417313180
BESSY M MOONNUMACKAL
SAN ANTONIO, TX
NPI
1417313180
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX AP129068)
Enumeration Date
2016-01-11
Last Update Date
2016-01-11
Business Address
-- BESSY M MOONNUMACKAL NP-C
2515 CASTROVILLE RD STE 1
SAN ANTONIO, TX 78237-3361
Phone number: 210-946-5633
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Mailing Address
-- BESSY M MOONNUMACKAL NP-C
8527 VILLAGE DR STE 205
SAN ANTONIO, TX 78217-5507
Phone number: 210-946-5633
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