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1417555152
LIA DAVALOS PROFESSIONAL CORPORATION
EL PASO, TX
NPI
1417555152
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Entity Type
Organization
Authorized Contact
LIA DAVALOS
Nurse Practitioner
915-615-7150
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2020-10-14
Last Update Date
2021-05-05
Business Address
LIA DAVALOS PROFESSIONAL CORPORATION
10470 VISTA DEL SOL DR
EL PASO, TX 79925-7948
Phone number: 915-615-7150
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Mailing Address
LIA DAVALOS PROFESSIONAL CORPORATION
10470 VISTA DEL SOL DR STE 102
EL PASO, TX 79925-7928
Phone number: 915-615-7150
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