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1417452822
JAIME ABRAHAM PENA
AUSTIN, TX
NPI
1417452822
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-03-27
Last Update Date
2018-03-27
Business Address
JAIME ABRAHAM PENA
2409 UNIVERSITY AVE
AUSTIN, TX 78712-1112
Phone number: 956-205-5490
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Mailing Address
JAIME ABRAHAM PENA
2001 SUMMER BREEZE RD
MISSION, TX 78572-3259
Phone number: 956-205-5490
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